Kristi Campanella, PT, MED, CPI

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP001153T Issued in AZ

Practice address

2340 E Beardsley Rd Ste 120
Phoenix, AZ 85024-1286

Phone

(480) 513-4801

Fax

(480) 513-4867

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bloomfield Physical Therapy

  • Physical Therapist
  • Tecumseh, KS
  • NPI 1043860166

  CO

  Medicare reassignment NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1740496983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E BEARDSLEY RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241286",
            "telephone_number": "480-513-4801",
            "fax_number": "480-513-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E BEARDSLEY RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241286",
            "telephone_number": "480-513-4801",
            "fax_number": "480-513-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 4th St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Fort Lupton",
            "state": "CO",
            "postal_code": "806211845",
            "country_code": "US",
            "telephone_number": "303-857-1111",
            "fax_number": "303-857-1198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPANELLA",
        "first_name": "KRISTI",
        "credential": "PT, MED, CPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7233",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP001153T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@biaofarizona.com",
            "affiliation": "N",
            "endpointDescription": "info@biaofarizona.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2340 E Beardsley Rd Ste 120",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850241286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.