Jeanette Elizabeth Campagnola, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

940-019 Issued in WI

Practice address

2727 W Mitchell St
Milwaukee, WI 53215-2259

Phone

(141) 383-3699

Fax

(414) 383-3866

NPI assigned

May 10, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467666974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 S GRIFFIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075863",
            "telephone_number": "414-481-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W MITCHELL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152259",
            "telephone_number": "141-383-3699",
            "fax_number": "414-383-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNOLA",
        "first_name": "JEANETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "940-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40207300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jo Caminiti, ACSW
• Bruce M Camitta, MD
• Victoria May Cammarano, PA-C
• Nicole Camosy, APNP
• Alexander John Camp
• Brittney Campbell-Hunter
• Angela M Campbell
• Bruce Campbell, MD
• Dillon Campbell, MS, LAT, ATC, NREMT
• Domineq Campbell

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.