Tanysha Danielle Campbell, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

011633 Issued in NY

Practice address

2675 Henry Hudson Pkwy Apt 5K
Bronx, NY 10463-7739

Phone

(646) 319-9234

NPI assigned

Oct 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1255151015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 HENRY HUDSON PKWY APT 5K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637739",
            "telephone_number": "646-319-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 HENRY HUDSON PKWY APT 5K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637739",
            "telephone_number": "646-319-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TANYSHA",
        "middle_name": "DANIELLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Kay Venesa Campbell
• Sharon Campbell
• Sheree Campbell, RN
• Sidjay Campbell, NP
• Stephanie Campbell
• Teronia Campbell
• Tishawna Campbell
• David Campino
• Antonia Campopiano, LCSW
• Gabriel Campos

• Occupational Therapy Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.