Active NPI
Kelly Nicole Campbell, PTA
- Physical Therapy Assistant
- Millsboro, DE
National Provider Identifier
1619214079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.0013477
- Practice address
- 26585 Raleigh Rd
Millsboro, DE 19966-7045 - Phone
- (443) 783-7223
- NPI assigned
- Jan 5, 2013
- 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 Therapy Assistant | 225200000X | PTA.0013477 | CO | Primary |
Addresses
Primary practice location
26585 Raleigh Rd
Millsboro, DE 19966-7045
Mailing address
24436 E Louisiana Circle
Aurora, CO 80018
Phone (443) 783-7223
Other names 1
- Kelly Nicole Leonard
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0013477 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1619214079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24436 E LOUISIANA CIRCLE",
"city": "AURORA",
"state": "CO",
"postal_code": "80018",
"telephone_number": "443-783-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26585 RALEIGH RD",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199667045",
"telephone_number": "443-783-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KELLY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-05",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0013477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "LEONARD",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.