Active NPI
Opal Campbell
- Recreation Therapist
- Queens Village, NY
National Provider Identifier
1588117899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 7925 Winchester Blvd
Queens Village, NY 11427-2128 - Phone
- (718) 264-4087
- NPI assigned
- Aug 3, 2016
- Last updated
- Aug 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | NU | Primary |
Addresses
Primary practice location
7925 Winchester Blvd
Queens Village, NY 11427-2128
Mailing address
977 Cayuga Rd
West Hempstead, NY 11552-3903
Phone (718) 264-4087
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1588117899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 CAYUGA RD",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115523903",
"telephone_number": "718-264-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7925 WINCHESTER BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114272128",
"telephone_number": "718-264-4087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "OPAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.