Courtney Camposano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047248 Issued in NY

Practice address

501 Regency Park Cir
Sacramento, CA 95835-1735

Phone

(916) 798-5958

NPI assigned

Jul 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MK Healthcare Medical PCGroup PAC ID 8123371978, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• MK Healthcare Medical PC

  • Specialist
  • Ridgewood, NY
  • NPI 1316426299
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1336812767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 REGENCY PARK CIRCLE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351735",
            "telephone_number": "916-798-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 REGENCY PARK CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351735",
            "telephone_number": "916-798-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOSANO",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Isabelle Campos
• Lindsay R Campos
• Maria Campos
• Maribel Campos
• Marlene Campos
• Francisco Javier Campoverde
• Campus Commons Physical Therapy
• Campus Commons Physical Therapy, Inc.
• Campus Physicians of California, P.C.
• Moneshia Campus

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.