Active NPI
Deborah Ann Campbell, P.T.
- Physical Therapist
- Deltona, FL
National Provider Identifier
1598912693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16705
- Practice address
- 2789 Fayson Cir
Deltona, FL 32738-5228 - Phone
- (386) 789-2663
- NPI assigned
- Aug 20, 2008
- Last updated
- Aug 20, 2008
- 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 | PT16705 | FL | Primary |
Addresses
Primary practice location
2789 Fayson Cir
Deltona, FL 32738-5228
Mailing address
2789 Fayson Cir
Deltona, FL 32738-5228
Phone (386) 789-2663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT16705 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1598912693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2789 FAYSON CIR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327385228",
"telephone_number": "386-789-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2789 FAYSON CIR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327385228",
"telephone_number": "386-789-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT16705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.