Individual provider Active NPI

Brien Campbell, PT, DPT

  • Physical Therapist
  • Greenwood Village, CO
National Provider Identifier
1578130381
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0019066 Issued in CO
Practice address
5600 S Quebec St Ste 107a
Greenwood Village, CO 80111-2201
Phone
(303) 689-2222
NPI assigned
Jun 9, 2021
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4531 NV
Physical Therapist 225100000X 0019066 CO Primary

Addresses

Primary practice location

5600 S Quebec St Ste 107a
Greenwood Village, CO 80111-2201

Mailing address

5600 S Quebec St Ste 107a
Greenwood Village, CO 80111-2201
Phone (303) 689-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212003811 CO Practitioner - Physical Therapist in Private Practice 9436551983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019066COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Therapy and Wellness Clinic Inc Physical Therapist CurrentSince Nov 4, 2023 Accepting new patients
Voice and Swallow Therapy Clinic Professional Company CurrentSince Nov 26, 2023 Accepting new patients

Locations

5600 S Quebec St
Ste 107A
Greenwood Village, CO 80111
Phone (303) 689-2222

Organizations & group practices 2

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1578130381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC ST STE 107A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112201",
            "telephone_number": "303-689-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC ST STE 107A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112201",
            "telephone_number": "303-689-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRIEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4531",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.