Organization Active NPI

Scott Campbell Physical Therapy

  • Orthopedic Physical Therapist
  • Malibu, CA
National Provider Identifier
1447884614
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SCOTT CAMPBELL PHYSICAL THERAPY
Practice address
29575 Pacific Coast Hwy Ste P
Malibu, CA 90265-3960
Phone
(310) 456-9705
Fax
(310) 919-1133
NPI assigned
Feb 26, 2020
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Scott Lloyd CampbellNPI 1568584134
Title
Owner
Phone
(310) 456-9705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

29575 Pacific Coast Hwy Ste P
Malibu, CA 90265-3960

Mailing address

29575 Pacific Coast Hwy Ste P
Malibu, CA 90265-3960
Phone (310) 456-9705

National Provider Directory

National Provider Directory

Locations

29575 Pacific Coast Hwy
Ste P
Malibu, CA 90265
Phone (310) 456-9705

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1447884614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29575 PACIFIC COAST HWY STE P",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653960",
            "telephone_number": "310-456-9705",
            "fax_number": "310-919-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29575 PACIFIC COAST HWY STE P",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653960",
            "telephone_number": "310-456-9705",
            "fax_number": "310-919-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT CAMPBELL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-456-9705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.