Individual provider Active NPI

Elizabeth Kemeny Campbell, PT, DPT

  • Pediatric Physical Therapist
  • West Chester, PA
National Provider Identifier
1598044695
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
40QA01467500 Issued in NJ
Practice address
208 N Benjamin Dr
West Chester, PA 19382
Phone
(484) 639-9050
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01467500 NJ
Pediatric Physical Therapist 2251P0200X J1-0002901 DE
Pediatric Physical Therapist 2251P0200X PT021269 PA
Pediatric Physical Therapist 2251P0200X 40QA01467500 NJ Primary

Addresses

Primary practice location

208 N Benjamin Dr
West Chester, PA 19382

Mailing address

208 N Benjamin Dr
West Chester, PA 19382-1946

Other practice location 1

443 Laurel Oak Rd
Voorhees, NJ 08043-4419
Phone (856) 309-8508

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

State licenses

LicenseStateTypeSpecialty
J1-0002901DEMDPediatric Physical Therapist
40QA01467500NJMDPediatric Physical Therapist
PT021269PAMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1598044695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N BENJAMIN DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193821946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N BENJAMIN DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19382",
            "telephone_number": "484-639-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Laurel Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434419",
            "country_code": "US",
            "telephone_number": "856-309-8508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ELIZABETH",
        "middle_name": "KEMENY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01467500",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "DE",
            "license": "J1-0002901",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT021269",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01467500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.