Individual provider Active NPI

Camille Tingle, PT, DPT

  • Orthopedic Physical Therapist
  • Mesa, AZ
National Provider Identifier
1295233245
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3702 Issued in AZ
Practice address
2225 W Southern Ave
Mesa, AZ 85202-4716
Phone
(480) 412-4101
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 3702 AZ Primary

Addresses

Primary practice location

2225 W Southern Ave
Mesa, AZ 85202-4716

Mailing address

2225 W Southern Ave
Mesa, AZ 85202-4716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307001266 AZ Practitioner - Physical Therapist in Private Practice 4183985104 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3702AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
Arizona Balance and Hearing Associates, LLC CurrentSince Mar 26, 2018 Accepting new patients
Arizona Balance and Hearing Associates,LLC CurrentSince Mar 26, 2018 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations (25 of 45)

10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 907-0746

13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 547-4787

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

2055 W Frye Rd
Ste 2
Chandler, AZ 85224
Phone (480) 821-9840

4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

5605 W Eugie Ave
Ste 212
Glendale, AZ 85304
Phone (480) 210-6445

4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 548-0228

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922

5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

9401 W Thunderbird Rd
Ste 190
Peoria, AZ 85381
Phone (623) 977-5451

2942 N 7th Ave
Ste A101
Phoenix, AZ 85013
Phone (602) 277-0084

4200 E Camelback Rd
Ste 103
Phoenix, AZ 85018
Phone (602) 858-3307

2400 W Dunlap Ave
Ste 145
Phoenix, AZ 85021
Phone (602) 870-1414

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1295233245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024716",
            "telephone_number": "480-412-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLE",
        "first_name": "CAMILLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "3702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.