Individual provider Active NPI

Lindsy Briann Campbell, DPT

  • Physical Therapist
  • Polson, MT
National Provider Identifier
1699144105
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17293 Issued in MT
Practice address
301 16TH Ave E
Polson, MT 59860-3720
Phone
(406) 883-6863
Fax
(406) 883-6868
NPI assigned
Sep 15, 2015
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60550436 WA
Physical Therapist 225100000X 17293 MT Primary

Addresses

Primary practice location

301 16TH Ave E
Polson, MT 59860-3720

Mailing address

807 14TH Ave E
Polson, MT 59860-3626
Phone (406) 883-6863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324003035 MT Practitioner - Physical Therapist in Private Practice 7113207937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51657 US Hwy 93
Polson, MT 59860-6903
Phone (406) 883-6863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17293MTMDPhysical Therapist
PT60550436WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Valley Physical Therapy, PC Physical Therapist CurrentSince Feb 1, 2020 Accepting new patients
Hobby Horse Place LLC Physical Therapist PastSince Feb 5, 2020 Accepting new patients

Locations

51657 US Highway 93
Polson, MT 59860
Phone (406) 270-4697

Organizations & group practices 2

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1699144105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 14TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603626",
            "telephone_number": "406-883-6863",
            "fax_number": "406-883-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 16TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603720",
            "telephone_number": "406-883-6863",
            "fax_number": "406-883-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LINDSY",
        "middle_name": "BRIANN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60550436",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "17293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.

Verify at the official NPI Registry.