Suzan R. Campbell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05001203A Issued in IN

Practice address

18051 River Rd
Suite 201
Noblesville, IN 46062-7091

Phone

(317) 776-6050

Fax

(317) 776-6053

NPI assigned

Aug 31, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: scampbell790223@directc.mercy.net

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.

• Riverview Hospital

  • Community Health Clinic/Center
  • Noblesville, IN
  • NPI 1790443018
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1780796128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18051 RIVER RD",
            "address_2": "SUITE 201",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627091",
            "telephone_number": "317-776-6050",
            "fax_number": "317-776-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SUZAN",
        "middle_name": "R.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001203A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scampbell790223@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18051 River Rd",
            "address_2": "Suite 201",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460627091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise Campbell
• Jacob Campbell
• Katherine Campbell
• Lindsey Campbell
• Margaret E Campbell, NP
• Alexus Camper
• Alejandro Campos
• Cancer Care Group, P.C.
• Cancer Rehab Group LLC
• Nathaniel Canillas

• Physical Therapist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.