Caroline Suzanne Campbell, OTR/L
Individual provider Active NPI Occupational Therapist · Madison, IN
NPI 1689375990 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1689375990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 281716 (KY)
- Practice address
- 2420 Wilson Ave
Madison, IN 47250-2135 - Phone
- (812) 265-8226
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281716 | KY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 281716 | KY | Yes |
Addresses
Primary practice location
2420 Wilson Ave
Madison, IN 47250-2135
Mailing address
136 White Owl Way
Georgetown, KY 40324-8655
Phone (859) 230-0607
Other providers in Madison, IN
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- Nancy H Burkhardt
- Butler Dental PC
- Daniel Franklin Butler
- Leslie Cain
- Benjamin Canida
- Robert Reid Canida
- Hermetes Capulong
- Aaron Luke Carlson
- Alice L Carlson
All providers in Madison, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.