Active NPI
Adam L Campbell, DPT
- Physical Therapist
- New Albany, IN
National Provider Identifier
1639324155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5170 Charlestown Rd
New Albany, IN 47150-8400 - Phone
- (812) 590-8888
- Fax
- (812) 590-8890
- NPI assigned
- Nov 25, 2008
- Last updated
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Orthopedic Physical Therapist | 2251X0800X | 005108 | KY |
Addresses
Primary practice location
5170 Charlestown Rd
New Albany, IN 47150-8400
Mailing address
175 S English Station Rd
Suite 220
Louisville, KY 40245-4160
Phone (812) 697-2127
Other practice location 1
175 S English Station Rd
Suite 220
Louisville, KY 40245-4160
Phone (812) 697-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11912635 | Other | KY | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5170 Charlestown Rd
Suite 102
New Albany, IN 47150-8400
Phone (812) 590-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1639324155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 S ENGLISH STATION RD",
"address_2": "SUITE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454160",
"telephone_number": "812-697-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 CHARLESTOWN RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471508400",
"telephone_number": "812-590-8888",
"fax_number": "812-590-8890"
}
],
"practiceLocations": [
{
"address_1": "175 S English Station Rd",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402454160",
"country_code": "US",
"telephone_number": "812-697-2127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ADAM",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-25",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "KY",
"license": "005108",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11912635",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.