Active NPI
Poonam Campos, PT, DPT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1871354142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1387055
- Practice address
- 11300 N Central Expy Ste 130
Dallas, TX 75243-6764 - Phone
- (972) 232-2227
- NPI assigned
- Jan 23, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1387055 | TX | Primary |
Addresses
Primary practice location
11300 N Central Expy Ste 130
Dallas, TX 75243-6764
Mailing address
11300 N Central Expy Ste 130
Dallas, TX 75243-6764
Phone (972) 232-2227
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1387055 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1871354142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 N CENTRAL EXPY STE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436764",
"telephone_number": "972-232-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 N CENTRAL EXPY STE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436764",
"telephone_number": "972-232-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "POONAM",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1387055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.