Andrew Scot Campbell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4171565 Issued in ID

Practice address

3035 W McMillan Rd
Meridian, ID 83646-6291

Phone

(208) 887-8684

NPI assigned

May 27, 2025

Last updated

May 27, 2025By the provider in NPPES

Sex

Male

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

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gridiron Rehab and Athletic Fitness LLCGroup PAC ID 4385794692, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gridiron Rehab and Athletic Fitness, LLC

  • Physical Therapy Clinic/Center
  • Meridian, ID
  • NPI 1033359450
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1396538898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E BURNEY GLEN DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465352",
            "telephone_number": "318-344-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 W MCMILLAN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466291",
            "telephone_number": "208-887-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANDREW",
        "middle_name": "SCOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "4171565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Robert Calvano, RDN
• Allison L Calverley, BS
• Ray Edward Cammack, M. ED., LCPC
• John W Cammann, DMD
• Michael M Cammann, DMD
• Jennifer Campbell, RPH
• Pam Campbell, CADC
• Rachael Campbell
• Canopy Behavioral Health, PLLC
• R. Erik Cantwell, DDS

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.