Angus Ferguson Campbell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001935 Issued in FL

Practice address

25 Pine Cone Dr
Palm Coast, FL 32164-8423

Phone

(800) 796-0923

NPI assigned

May 2, 2011

Last updated

May 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1508157074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BONITA RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865706",
            "telephone_number": "904-315-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PINE CONE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648423",
            "telephone_number": "800-796-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANGUS",
        "middle_name": "FERGUSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA001935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anita Calhoun, MD
• Rhonda D Calloway
• Sarah Marie Calvey, PA-C
• Carrie Campanile-Russell
• Paul Victor Campbell III III, AGNP
• Michael Patrick Campbell, M.D.
• Trista Nicole Campbell, RBT
• Brandon R Canaday, DMD
• Cancer Specialists, LLC (Cancer Specialists of North Florida)
• Regina Cannella, COTA/L

• Physical Therapy Assistant in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.