Carolyn Hahn Campbell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305004014 Issued in VA

Practice address

109 Bulifants Blvd Ste B
Williamsburg, VA 23188-5718

Phone

(757) 229-9740

NPI assigned

Sep 4, 2014

Last updated

Sep 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fusion Chiropractic, LLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1265728307
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1740681105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 DISCOVERY PARK BLVD STE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BULIFANTS BLVD STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885718",
            "telephone_number": "757-229-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CAROLYN",
        "middle_name": "HAHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calidad Transit LLC
• Jessica Callaway, M.S.
• Thomas Camp, MD
• Richard Anthony Campana Sr., MD
• Anh Campbell, MD
• Glenn C Campbell, MD
• Jennifer Leigh Campbell, COTA/L
• Madalyn Campbell
• Russell Witter Campbell, MD
• Timothy John Campbell, M.D.

• Physical Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.