Active NPI
Ryan Anthony Campo, PT, DPT
- Physical Therapist
- Johnson City, NY
National Provider Identifier
1306247804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038066-1
- Practice address
- 33-57 Harrison St
Picciano Building, 3Rd Floor
Johnson City, NY 13790-2107 - Phone
- (607) 763-6033
- NPI assigned
- Sep 16, 2014
- 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 | 038066-1 | NY | Primary |
Addresses
Primary practice location
33-57 Harrison St
Picciano Building, 3Rd Floor
Johnson City, NY 13790-2107
Mailing address
33-57 Harrison St
Picciano Building, 3Rd Floor
Johnson City, NY 13790-2107
Phone (607) 763-6033
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 |
|---|---|---|---|
| 038066-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1306247804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33-57 HARRISON ST",
"address_2": "PICCIANO BUILDING, 3RD FLOOR",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902107",
"telephone_number": "607-763-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33-57 HARRISON ST",
"address_2": "PICCIANO BUILDING, 3RD FLOOR",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902107",
"telephone_number": "607-763-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "RYAN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038066-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.