Individual provider Active NPI

Kirsten Anna Campbell, PT

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1851812622
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60744258 Issued in WA
Practice address
12410 E Sinto Ave
Spokane Valley, WA 99216-2199
Phone
(509) 789-2956
Fax
(097) 892-9765
NPI assigned
Jul 3, 2017
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 60744258 WA Primary

Addresses

Primary practice location

12410 E Sinto Ave
Spokane Valley, WA 99216-2199

Mailing address

12410 E Sinto Ave
Spokane Valley, WA 99216-2199
Phone (509) 789-2956

Other practice location 1

101 E Hastings Rd Ste J
Spokane, WA 99218-4901
Phone (509) 466-4379

Other identifiers 2

IdentifierTypeStateIssuer
1851812622MedicaidWA
G8968425OtherWAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804003237 WA Practitioner - Physical Therapist in Private Practice 8628349867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12410 E Sinto Ave
Suite 101
Spokane Valley, WA 99216-2258
Phone (509) 789-2955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60744258WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jun 27, 2017 Accepting new patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Nov 3, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Nov 3, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jun 27, 2017 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

12410 E Sinto Ave
Ste 101
Spokane Valley, WA 99216
Phone (509) 789-2955

Interoperability endpoints

  • Direct secure messaging: kirsten.campbell.1@16598.direct.athenahealth.com
  • Direct secure messaging: kirsten.campbell.1@31414.direct.athenahealth.com

Organizations & group practices 7

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1851812622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 E SINTO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162199",
            "telephone_number": "509-789-2956",
            "fax_number": "097-892-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 E SINTO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162199",
            "telephone_number": "509-789-2956",
            "fax_number": "097-892-9765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Hastings Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992184901",
            "country_code": "US",
            "telephone_number": "509-466-4379",
            "fax_number": "509-466-4407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KIRSTEN",
        "middle_name": "ANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60744258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851812622",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8968425",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.