Individual provider Active NPI

Thomas S Campion, PT, OCS

  • Orthopedic Physical Therapist
  • Charlotte, NC
National Provider Identifier
1255310793
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5257 Issued in NC
Practice address
3135 Springbank LN
Suite 220
Charlotte, NC 28226-3360
Phone
(704) 541-3378
Fax
(704) 542-5962
NPI assigned
Jan 12, 2006
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5257 NC Primary

Addresses

Primary practice location

3135 Springbank LN
Suite 220
Charlotte, NC 28226-3360

Mailing address

10370 Park Rd
Ste 102
Charlotte, NC 28210-8509
Phone (866) 679-1600

Other identifiers 4

IdentifierTypeStateIssuer
078C0OtherNCBCBS INDIVIDUAL
7211690MedicaidNC
016MNOtherNCBCBS GROUP
06-1644099OtherNCTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000490 NC Practitioner - Physical Therapist in Private Practice 1254399785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5257NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy for the Carolinas CurrentSince Dec 2, 2002 Accepting new patients
Healing Touch Chiropractic, PC PastSince Mar 1, 2016 Accepting new patients
Reserve Health, PC Past Accepting new patients

Locations

10370 Park Rd
Ste 102
Charlotte, NC 28210
Phone (704) 321-2741

11535 Carmel Commons Blvd
Ste 104
Charlotte, NC 28226
Phone (704) 541-3378

3135 Springbank Ln
Ste 220
Charlotte, NC 28226
Phone (704) 541-3378

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13989/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomas.campion.1@13989.direct.athenahealth.com
  • Direct secure messaging: thomas.campion.1@14940.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1255310793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 PARK RD",
            "address_2": "STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108509",
            "telephone_number": "866-679-1600",
            "fax_number": "864-679-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 SPRINGBANK LN",
            "address_2": "SUITE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263360",
            "telephone_number": "704-541-3378",
            "fax_number": "704-542-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPION",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "5257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "078C0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211690",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "016MN",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "06-1644099",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.