Active NPI
Dorinda L. Campano, P.T.
- Physical Therapist
- Troy, NY
National Provider Identifier
1407890668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005060-1
- Practice address
- 564 Hoosick St
Troy, NY 12180-2106 - Phone
- (518) 273-2715
- Fax
- (518) 273-2815
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- 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 | 005060-1 | NY | Primary |
Addresses
Primary practice location
564 Hoosick St
Troy, NY 12180-2106
Mailing address
564 Hoosick St
Troy, NY 12180-2106
Phone (518) 273-2715
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492055 | Other | NY | BLUE SHIELD |
| 43932/10425 | Other | NY | MVP |
| QA3571 | Other | NY | BLUE CROSS |
| 10002175/6973 | Other | NY | CDPHP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005060-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Troy, NY
- NPI 1245313097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407890668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 HOOSICK ST",
"city": "TROY",
"state": "NY",
"postal_code": "121802106",
"telephone_number": "518-273-2715",
"fax_number": "518-273-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 HOOSICK ST",
"city": "TROY",
"state": "NY",
"postal_code": "121802106",
"telephone_number": "518-273-2715",
"fax_number": "518-273-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPANO",
"first_name": "DORINDA",
"middle_name": "L.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "005060-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "492055",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "43932/10425",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "QA3571",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002175/6973",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.