Individual provider Active NPI

James Tyler Campbell

  • Physical Therapist
  • Homewood, AL
National Provider Identifier
1497357677
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9956 Issued in AL
Practice address
10 Old Montgomery Hwy Ste 200
Homewood, AL 35209-6797
Phone
(205) 271-6511
NPI assigned
Nov 12, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9956 AL Primary

Addresses

Primary practice location

10 Old Montgomery Hwy Ste 200
Homewood, AL 35209-6797

Mailing address

1851 S Lakeshore Dr
Vestavia Hills, AL 35216-1623
Phone (205) 240-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211000274 AL Practitioner - Physical Therapist in Private Practice 5597170258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

203 Narrows Pkwy
Suite D
Birmingham, AL 35242-8649
Phone (205) 719-2420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ryshaan LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Spine Group Alabama, LLC CurrentSince Nov 16, 2020 Accepting new patients

Locations

209 Fitness Way
Ste D
Athens, AL 35611
Phone (256) 233-9148

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

10 Old Montgomery Hwy
Ste 200
Homewood, AL 35209
Phone (205) 271-6504

3780 Riverchase Vlg
Ste 900
Hoover, AL 35244
Phone (205) 242-9090

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1497357677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 S LAKESHORE DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161623",
            "telephone_number": "205-240-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD MONTGOMERY HWY STE 200",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096797",
            "telephone_number": "205-271-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JAMES",
        "middle_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.

Verify at the official NPI Registry.