Active NPI
Matthew Scott Campbell
- Pediatric Occupational Therapist
- Seattle, WA
National Provider Identifier
1902324015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 6725 45TH Ave S
Seattle, WA 98118-3603 - Phone
- (801) 388-7878
- NPI assigned
- Sep 8, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
6725 45TH Ave S
Seattle, WA 98118-3603
Mailing address
650 Duvall Ave NE Apt T1514
Renton, WA 98059-4770
Phone (801) 388-7878
Other practice location 1
4800 S Henderson St
Seattle, WA 98118-4981
Phone (801) 388-7878
Other practice location 2
2820 S Orcas St
Seattle, WA 98108-3066
Phone (801) 388-7878
Other practice location 3
650 Duvall Ave NE Apt T1514
Renton, WA 98059-4770
Phone (801) 388-7878
Other names 1
- Matt Campbell
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902324015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 DUVALL AVE NE APT T1514",
"city": "RENTON",
"state": "WA",
"postal_code": "980594770",
"telephone_number": "801-388-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6725 45TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981183603",
"telephone_number": "801-388-7878"
}
],
"practiceLocations": [
{
"address_1": "4800 S Henderson St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981184981",
"country_code": "US",
"telephone_number": "801-388-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 S Orcas St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981083066",
"country_code": "US",
"telephone_number": "801-388-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 Duvall Ave NE Apt T1514",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980594770",
"country_code": "US",
"telephone_number": "801-388-7878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATT",
"last_name": "CAMPBELL",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.