Active NPI
Kennesha D Campbell, OT
- Occupational Therapist
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 710 Julian Rd
Salisbury, NC 28147-9079 - Phone
- (704) 636-5812
- NPI assigned
- Jul 3, 2006
- Last updated
- Oct 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | KY | Primary |
Addresses
Primary practice location
710 Julian Rd
Salisbury, NC 28147-9079
Mailing address
710 Julian Rd
Salisbury, NC 28147-9079
Phone (704) 636-5812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Buford Dr
Lawrenceville, GA 30043-2570
Phone (229) 596-8965
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2776 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group Inc. | Current | Accepting new patients | |
| The Weston Group Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812
2400 Buford Dr
Lawrenceville, GA 30043
Phone (229) 596-8965
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.
-
dba The Weston Health Care Group Inc
- Physical Therapist
- Acworth, GA
- NPI 1841309101
Occupational Therapist
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1760412969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 JULIAN RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281479079",
"telephone_number": "704-636-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 JULIAN RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281479079",
"telephone_number": "704-636-5812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KENNESHA",
"middle_name": "D",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
- Jeronica Evon Cain, LCSW
- Samantha Tara Call, PA-C
- Callaway Associates (Pro Med Minor Emergency Centers)
- Duane O Campbell, MD
- Kellie Campbell
- Morgan Wright Campbell, PA
- Sabrina Michelle Campbell, PMHNP-BC
- Saprina Campbell, LPN
- Cannon Pharmacy Salisbury, LLC (Cannon Pharmacy Long Term Care)
- Cannon Pharmacy Salisbury, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.