Amanda Love Campbell, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

MSPTL.0000030 Issued in CO

Practice address

3001 S Academy Blvd Ste 110
Colorado Springs, CO 80916-3269

Phone

(719) 428-6065

NPI assigned

Jun 2, 2022

Last updated

Dec 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Amanda Love Mangelo-Pomp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.campbell@1016694758113284.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centura Ventures, LLC

  dba CS Briargate at Sister

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1073882197

  Physical Therapist

  NPD
• Centura Ventures, LLC

  dba CS PT Summit

  • Physical Therapy Clinic/Center
  • Frisco, CO
  • NPI 1124854526
  NPD
• Centura Ventures, LLC

  dba CS Cen PT Tri-Lakes

  • Physical Therapy Clinic/Center
  • Monument, CO
  • NPI 1194357236
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1255070769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 CHIEFTAN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809251017",
            "telephone_number": "719-452-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S ACADEMY BLVD STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809163269",
            "telephone_number": "719-428-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMANDA",
        "middle_name": "LOVE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019408",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "MSPTL.0000030",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT9361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MANGELO-POMP",
            "middle_name": "LOVE",
            "credential": "PT, DPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Sarah Cammack, DPT
• Amber Camp, PTA
• Sofie Camp, MS, LPCC
• Cathleen E Campaigne, LCSW
• Karen C Campbell-Munch, D.O.
• Amberly Campbell
• Antrod Campbell
• Ashley Campbell, BCBA
• Chantry Helene Joyce Campbell
• Christa Campbell, RN

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.