Individual provider Active NPI

Carrie Campbell, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1750937603
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28019 Issued in MD
Practice address
312 Martin Luther King Jr Blvd Ste 105
Baltimore, MD 21201-1221
Phone
(443) 512-8337
Fax
(443) 327-5282
NPI assigned
Aug 16, 2019
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28019 MD Primary

Addresses

Primary practice location

312 Martin Luther King Jr Blvd Ste 105
Baltimore, MD 21201-1221

Mailing address

3805 Boston St Unit 6016
Baltimore, MD 21224-5714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828001886 MD Practitioner - Physical Therapist in Private Practice 4284963265 Reassigns benefits to 1 organization
Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physical Therapy and Fitness Centers LLCGroup PAC ID 3870864648, 15 clinicians

Practice addresses (Care Compare)

312 Martin Luther King Jr Blvd
Suite 102
Baltimore, MD 21201-1221
Phone (443) 512-8337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28019MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy and Fitness Centers LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

100 Walter Ward Blvd
Ste 200
Abingdon, MD 21009
Phone (443) 512-8484

312 Martin Luther King Jr Blvd
Ste 102
Baltimore, MD 21201
Phone (410) 800-4631

9526 Philadelphia Rd
Rosedale, MD 21237
Phone 4435128337215

Organizations & group practices 1

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1750937603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 BOSTON ST UNIT 6016",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARTIN LUTHER KING JR BLVD STE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011221",
            "telephone_number": "443-512-8337",
            "fax_number": "443-327-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CARRIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.