Campbell Therapy Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CAMPBELL THERAPY CENTER LLC

Practice address

109 Commerce St
Paris, TN 38242-4917

Phone

(731) 641-8111

Fax

(731) 641-8110

NPI assigned

Jul 19, 2006

Last updated

Dec 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shani Devon Campbell, PTNPI 1831138387

Title

Ceo

Phone

(731) 641-8111

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terri Ann Donahue, PT

  • Geriatric Physical Therapist
  • Paris, TN
  • NPI 1275845307
  Medicare reassignment NPD
• Amanda Ren'a Greene, OT

  • Occupational Therapist
  • Paris, TN
  • NPI 1437225901
  Medicare reassignment NPD
• Shani Devon Campbell, P.T.

  • Physical Therapist
  • Paris, TN
  • NPI 1831138387
  NPD Authorized official
• Krista Bailey

  • Speech-Language Pathologist
  • Paris, TN
  • NPI 1932606779
  Medicare reassignment
• Elizabeth A. Hollingsworth, PT

  • Physical Therapist
  • Paris, TN
  • NPI 1215254230
  NPD
• Jessica A Carter, PT

  • Physical Therapist
  • Clarksville, TN
  • NPI 1740271048
  NPD (past)
• Benjamin Scott Glover, P.T.

  • Physical Therapist
  • Paris, TN
  • NPI 1780028480
  NPD (past)
• Crystal Leighann Johnson, OT

  • Occupational Therapist
  • Paris, TN
  • NPI 1376655639
  NPD (past)
• Shannon M Osbron, P.T.

  • Physical Therapist
  • Paris, TN
  • NPI 1225077472
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1689693855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370580739",
            "telephone_number": "731-641-8111",
            "fax_number": "731-641-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 COMMERCE ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424917",
            "telephone_number": "731-641-8111",
            "fax_number": "731-641-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHANI",
        "authorized_official_middle_name": "DEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-641-8111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729568",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "12115",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "P00103288",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Scott Bryant, MSN-CRNA
• Jacqueline Stigall Bundy, D.P.H.
• James W. Bundy, DPH., PHARMD
• Michael Burkeen
• Laura Calamia
• Shani Devon Campbell, P.T.
• Cancer Care Center of Henry County, LLC
• Carey Counseling Center, Inc.
• Elizabeth Carothers Buffington
• David Owen Carrico, OD

• Physical Therapist in Paris, TN
• Providers in Paris, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.