Shirley Ann Campbell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TED12054 Issued in PA

Practice address

204 Pheasant Drive
Pittsburgh, PA 15235

Phone

(412) 241-7781

NPI assigned

Jul 21, 2020

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 names 1

• Miss Shirley Ann Meyers Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1861000358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PERRYMONT ROAD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-348-1595",
            "fax_number": "412-366-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PHEASANT DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-241-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TED12054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "MEYERS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Campbell
• Ronald John Campbell Jr., PHRAM.D.
• Sarah Elizabeth Campbell, M.D.
• Shannon Campbell, PT
• Shannon Marie Campbell, PA-C
• Stephanie Campbell
• Thomas Patrick Campbell, MD
• Timothy Gregg Campbell
• Virginia Kay Campbell, M.S.ED.
• James Scott Campeau

• Physical Therapy Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.