Individual provider Active NPI

Rebecca L Campbell

  • Physical Therapist
  • Princeton, NJ
National Provider Identifier
1275705915
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01253800 Issued in NJ
Practice address
743 Alexander Rd
Suite 2
Princeton, NJ 08540-6328
Phone
(609) 419-0455
Fax
(609) 419-0023
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01253800 NJ Primary

Addresses

Primary practice location

743 Alexander Rd
Suite 2
Princeton, NJ 08540-6328

Mailing address

PO Box 310
Three Bridges, NJ 08887-0310
Phone (908) 806-2645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020001025 PA Practitioner - Physical Therapist in Private Practice 7719057728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mortland Physical Therapy & Sports Medicine Physical Therapist CurrentSince Jul 1, 2014 Accepting new patients
Eclipse Physical Therapy and Sports Performance LLC CurrentSince Aug 2, 2017 Accepting new patients
Sports Physical Therapy Institute,PA Physical Therapist Past Accepting new patients

Locations

451 Valley Brook Rd
McMurray, PA 15317
Phone (724) 942-5410

994 Brodhead Rd
Moon Twp, PA 15108
Phone (412) 303-9957

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1275705915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "THREE BRIDGES",
            "state": "NJ",
            "postal_code": "088870310",
            "telephone_number": "908-806-2645",
            "fax_number": "908-806-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 ALEXANDER RD",
            "address_2": "SUITE 2",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406328",
            "telephone_number": "609-419-0455",
            "fax_number": "609-419-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "REBECCA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01253800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.