In-Home Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IN-HOME PHYSICAL THERAPY

Practice address

1128 Harvest Brook Dr
Lawrenceville, GA 30043-4743

Phone

(770) 601-8984

Fax

(770) 574-4428

NPI assigned

Jun 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Sheila Laja Campanano, DPT, WCC, CINPI 1942410535

Title

PT

Phone

(770) 601-8984

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Sheila Laja Campanano, P.T.

  • Physical Therapist
  • Lawrenceville, GA
  • NPI 1942410535
  NPD (past) Authorized official

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1881076982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 HARVEST BROOK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434743",
            "telephone_number": "770-601-8984",
            "fax_number": "770-574-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 HARVEST BROOK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434743",
            "telephone_number": "770-601-8984",
            "fax_number": "770-574-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "CAMPANANO",
        "authorized_official_first_name": "MARIA SHEILA",
        "authorized_official_middle_name": "LAJA",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "770-601-8984",
        "authorized_official_credential": "DPT, WCC, CI"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315889908A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.