Active NPI
Arder 'Scott' Campbell, P.T.
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1821252792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8299
- Practice address
- 1640 Eva Mae Dr
Raleigh, NC 27610-4443 - Phone
- (800) 362-0903
- Fax
- (866) 434-5096
- NPI assigned
- Jul 10, 2008
- Last updated
- Mar 1, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8299 | NC | Primary |
Addresses
Primary practice location
1640 Eva Mae Dr
Raleigh, NC 27610-4443
Mailing address
10505 Crisp Dr
Raleigh, NC 27614-7771
Phone (919) 847-8753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14979 | Other | NC | BLUECROSS BLUESHIELD OF NORTH CAROLINA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Foot Center,PA | Past | Accepting new patients | |
| S.T.a.C.K. Physical Therapy & Corrective Exercise, Incorporated | Past | Accepting new patients |
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.
-
- Foot & Ankle Surgery Podiatrist
- Raleigh, NC
- NPI 1619915501
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1912190174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1821252792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 CRISP DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147771",
"telephone_number": "919-847-8753",
"fax_number": "919-847-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 EVA MAE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276104443",
"telephone_number": "800-362-0903",
"fax_number": "866-434-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ARDER",
"middle_name": "'SCOTT'",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD OF NORTH CAROLINA",
"identifier": "14979",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.