Active NPI
Sharon Marie Campbell, PT
- Physical Therapist
- Fort Washington, MD
National Provider Identifier
1629248133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16453
- Practice address
- 9400 Livingston Rd
Suite 260
Fort Washington, MD 20744-4958 - Phone
- (301) 248-8940
- NPI assigned
- Mar 11, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16453 | MD | Primary |
Addresses
Primary practice location
9400 Livingston Rd
Suite 260
Fort Washington, MD 20744-4958
Mailing address
6203 Kilmer St
Cheverly, MD 20785-1248
Phone (301) 772-3266
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 |
|---|---|---|---|
| 16453 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1629248133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6203 KILMER ST",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851248",
"telephone_number": "301-772-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 LIVINGSTON RD",
"address_2": "SUITE 260",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444958",
"telephone_number": "301-248-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SHARON",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.