Active NPI
Darci Meyer Campbell, PTA
- Physical Therapy Assistant
- Michigan City, IN
National Provider Identifier
1265211619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06006641A
- Practice address
- 3710 Franklin St
Michigan City, IN 46360-7311 - Phone
- (219) 561-0828
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06006641A | IN | Primary |
Addresses
Primary practice location
3710 Franklin St
Michigan City, IN 46360-7311
Mailing address
3710 Franklin St
Michigan City, IN 46360-7311
Other practice location 1
5959 US Highway 6
Portage, IN 46368-4945
Phone (219) 265-3188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06006641A | IN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RS Physical Therapy Co | Current | Accepting new patients |
Locations
3710 Franklin St
Michigan City, IN 46360
Phone (219) 561-0828
5959 US Highway 6
Portage, IN 46368
Phone (219) 265-3188
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Michigan City, IN
- NPI 1801432984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1265211619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 FRANKLIN ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 FRANKLIN ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607311",
"telephone_number": "219-561-0828"
}
],
"practiceLocations": [
{
"address_1": "5959 US Highway 6",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "IN",
"postal_code": "463684945",
"country_code": "US",
"telephone_number": "219-265-3188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DARCI",
"middle_name": "MEYER",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06006641A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.