Active NPI
Elizabeth Campbell, DPT
- Physical Therapist
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13823
- Practice address
- 635 Broad Street
New London, CT 06320 - Phone
- (860) 447-8558
- Fax
- (860) 447-4552
- NPI assigned
- Feb 21, 2018
- Last updated
- Feb 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305213259 | VA | |
| Physical Therapist | 225100000X | 1302073 | TX | |
| Physical Therapist | 225100000X | 13823 | CT | Primary |
Addresses
Primary practice location
635 Broad Street
New London, CT 06320
Mailing address
47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595
Other practice location 1
5871 Harbour View Blvd
Suffolk, VA 23435-3669
Phone (757) 632-3622
Other practice location 2
12997 Nettles Dr
Newport News, VA 23602-6913
Phone (757) 249-8880
Other names 1
- Elizabeth Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA, CT
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
635 Broad St
New London, CT 06320-2543
Phone (860) 447-8558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13823 | CT | MD | Physical Therapist |
| 1302073 | TX | MD | Physical Therapist |
| 2305213259 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Anb-Ptsma Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
635 Broad St
New London, CT 06320
Phone (860) 447-8558
103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885
47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595
790 Remington Blvd
Bolingbrook, IL 60440
33299 Collection Ctr Dr
Chicago, IL 60693
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
130 Forum Dr
Ste 13
Columbia, SC 29229
Phone (803) 509-6880
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
2070 Northbrook Blvd
Ste A9
North Charleston, SC 29406
Phone (843) 377-0268
9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
1745 Camelot Dr
Ste 100
Virginia Beach, VA 23454
Phone (757) 496-2300
Organizations & group practices 8
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.
-
dba Physical Therapy & Sports Medicine Centers
- Physical Therapist
- West Hartford, CT
- NPI 1659453371
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapist
- Charleston, SC
- NPI 1912378365
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
-
- Physical Therapist
- Columbia, SC
- NPI 1174955686
-
dba Ati Physical Therapy
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1497256937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071926",
"telephone_number": "860-409-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BROAD STREET",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-447-8558",
"fax_number": "860-447-4552"
}
],
"practiceLocations": [
{
"address_1": "5871 Harbour View Blvd",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234353669",
"country_code": "US",
"telephone_number": "757-632-3622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12997 Nettles Dr",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236026913",
"country_code": "US",
"telephone_number": "757-249-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305213259",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1302073",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MILLER",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.