Shani Devon Campbell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0038 Issued in TN

Practice address

109 Commerce St
Paris, TN 38242-4917

Phone

(731) 641-8111

Fax

(731) 641-8110

NPI assigned

Jun 6, 2006

Last updated

Jun 24, 2008By 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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Campbell Therapy Center LLC

  • Physical Therapist
  • Paris, TN
  • NPI 1689693855
  NPD Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1831138387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370580739",
            "telephone_number": "731-641-8111",
            "fax_number": "731-641-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 COMMERCE ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424917",
            "telephone_number": "731-641-8111",
            "fax_number": "731-641-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHANI",
        "middle_name": "DEVON",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4078075",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "12115",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GAB RR MEDICARE",
            "identifier": "P00103288",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC FAMILY HEALTHPLAN",
            "identifier": "33297",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729568",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Stigall Bundy, D.P.H.
• James W. Bundy, DPH., PHARMD
• Michael Burkeen
• Laura Calamia
• Campbell Therapy Center LLC
• Cancer Care Center of Henry County, LLC
• Carey Counseling Center, Inc.
• Elizabeth Carothers Buffington
• David Owen Carrico, OD
• Carroll County Anesthesia, P.C.

• Physical Therapist in Paris, TN
• Providers in Paris, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.