Active NPI
Lance Baker Campbell, DPT
- Orthopedic Physical Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 10909
- Practice address
- 3787 Shipyard Blvd
Wilmington, NC 28403-6148 - Phone
- (910) 332-8000
- Fax
- (910) 251-0421
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 10909 | NC | Primary |
Addresses
Primary practice location
3787 Shipyard Blvd
Wilmington, NC 28403-6148
Mailing address
2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Maryland School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10909 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. | Current | Accepting new patients | |
| Emergeortho PA | Current | Accepting new patients | |
| Vann Virginia Center for Orthopaedics | Past | Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
122 Branchwood Shopping Ctr
Jacksonville, NC 28546
Phone (910) 938-7555
1333 S Dickinson Dr
Unit 120
Leland, NC 28451
Phone (910) 763-2361
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
902 N Howe St
Southport, NC 28461
Phone (910) 457-4789
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 341-2444
Interoperability endpoints
- baker.campbell.1@847.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Specialist
- Jacksonville, NC
- NPI 1164482402
-
dba Atlantic Orthopaedic Specialists
- Physical Therapist
- Chesapeake, VA
- NPI 1083928295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1861446627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 ASHTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122489",
"telephone_number": "910-332-3800",
"fax_number": "910-251-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036148",
"telephone_number": "910-332-8000",
"fax_number": "910-251-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LANCE",
"middle_name": "BAKER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "10909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.