Active NPI
Connor Wayne Campbell, PT, DPT
- Physical Therapist
- Massillon, OH
National Provider Identifier
1295445591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018069
- Practice address
- 7337 Caritas Cir NW
Massillon, OH 44646-9126 - Phone
- (330) 830-6130
- NPI assigned
- Nov 29, 2022
- Sex
- Male
- 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 Therapist | 225100000X | 018069 | OH | Primary |
Addresses
Primary practice location
7337 Caritas Cir NW
Massillon, OH 44646-9126
Mailing address
3585 Mount Pleasant St NW
North Canton, OH 44720-4745
Other practice location 1
6200 Whipple Ave NW
North Canton, OH 44720-7624
Phone (330) 966-8920
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | campbec20@ccf.org | Direct | Jackson Physical Therapy & Rehabilitation, Inc. |
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 |
|---|---|---|---|
| 018069 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1295445591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3585 MOUNT PLEASANT ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447204745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7337 CARITAS CIR NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446469126",
"telephone_number": "330-830-6130"
}
],
"practiceLocations": [
{
"address_1": "6200 Whipple Ave NW",
"address_purpose": "LOCATION",
"city": "North Canton",
"state": "OH",
"postal_code": "447207624",
"country_code": "US",
"telephone_number": "330-966-8920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CONNOR",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "018069",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "campbec20@ccf.org",
"affiliation": "Y",
"endpointDescription": "My work email",
"affiliationName": "Jackson Physical Therapy & Rehabilitation, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work email",
"address_1": "7337 Caritas Cir NW",
"city": "Massillon",
"state": "OH",
"country_code": "US",
"postal_code": "446469126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.