Stephanie Campbell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2029304 Issued in TX

Practice address

3635 Calder Ave Ste 109
Beaumont, TX 77706-5044

Phone

(409) 673-7641

Fax

(409) 833-7235

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1386166296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6864 HUDNALL RD",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776323524",
            "telephone_number": "409-466-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 CALDER AVE STE 109",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065044",
            "telephone_number": "409-673-7641",
            "fax_number": "409-833-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "STEPHANIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2029304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald R. Callas, M.D.
• Richard Callesto Jr., COTA
• Megan Calloway, RN
• Brandi L Calvin, PHARMD
• Trent Clark Cameron, FNP
• Cancer Treatment & Prevention Cente
• Corinda Cannon
• Cardiac Cath Lab of Beaumont, LP
• Cardiac Consultants, PA
• Cardinal Community Clinic

• Physical Therapy Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.