Active NPI
Renea Christne Campbell, PT
- Physical Therapist
- Punxsutawney, PA
National Provider Identifier
1538536651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024622
- Practice address
- 205 Hampton Ave
Punxsutawney, PA 15767-2133 - Phone
- (814) 938-0148
- NPI assigned
- Aug 24, 2015
- Last updated
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT024622 | PA | Primary |
Addresses
Primary practice location
205 Hampton Ave
Punxsutawney, PA 15767-2133
Mailing address
120 Irmc Dr
Indiana, PA 15701-3674
Phone (724) 357-7068
Other practice location 1
120 Irmc Dr
Indiana, PA 15701-3674
Phone (724) 357-7068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rehabilitation Systems Inc | Past | Accepting new patients |
Organizations & group practices 1
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 Keystone Physical Therapy
- Rehabilitation Clinic/Center
- Ambridge, PA
- NPI 1558300574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1538536651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 IRMC DR",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013674",
"telephone_number": "724-357-7068",
"fax_number": "724-357-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HAMPTON AVE",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672133",
"telephone_number": "814-938-0148"
}
],
"practiceLocations": [
{
"address_1": "120 Irmc Dr",
"address_purpose": "LOCATION",
"city": "Indiana",
"state": "PA",
"postal_code": "157013674",
"country_code": "US",
"telephone_number": "724-357-7068",
"fax_number": "724-357-6984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "RENEA",
"middle_name": "CHRISTNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punxsutawney, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.