Elizabeth Campos, PT CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0273461 Issued in NY

Practice address

231 Washington Ave
St Marks Physical Therapy
Garden City, NY 11530

Phone

(516) 746-0276

Fax

(516) 248-4661

NPI assigned

Apr 20, 2007

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

Other names 1

• Elizabeth G Campos Professional name

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417175126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100189998",
            "telephone_number": "917-202-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WASHINGTON AVE",
            "address_2": "ST MARKS PHYSICAL THERAPY",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-746-0276",
            "fax_number": "516-248-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "ELIZABETH",
        "credential": "PT CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0273461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CAMPOS",
            "middle_name": "G",
            "credential": "PT CLT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cameron K. Rokhsar, M.D. PC
• Walter Francis Cameron Jr., MD
• Anice E Campagna, NP
• Steven Campbell, DPT
• Leigh Campo
• Geoffrey Canada Jr., LMSW
• Jessica Cangemi, MS, OTR/L
• Lauren Canner
• Tara Caparella, MS
• Linda Caperna, SLP

• Physical Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Physical Therapist in New York

• 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.

Verify at the official NPI Registry.