Individual provider Active NPI

Trisha L Campbell, PT, DPT

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1871031609
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006053 Issued in KY
Practice address
3630 Glen Lily Rd
Bowling Green, KY 42101-7896
Phone
(270) 282-9229
NPI assigned
Jan 31, 2017
Last updated
May 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2020

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 006053 KY Primary

Addresses

Primary practice location

3630 Glen Lily Rd
Bowling Green, KY 42101-7896

Mailing address

PO Box 1533
Bowling Green, KY 42102-1533
Phone (270) 304-6981

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

State licenses

LicenseStateTypeSpecialty
006053KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tough Little Champions Pediatric Physical Therapy, LLC Physical Therapist CurrentSince May 10, 2020 Accepting new patients

Locations

1469 S Wilson Rd
Radcliff, KY 40160

Organizations & group practices 1

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1871031609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1533",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421021533",
            "telephone_number": "270-304-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 GLEN LILY RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017896",
            "telephone_number": "270-282-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TRISHA",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

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