Individual provider Active NPI

Olivia Elaine Campbell, DPT

  • Physical Therapist
  • Prattville, AL
National Provider Identifier
1902353857
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8153 Issued in AL
Practice address
2703 Legends Pkwy
Prattville, AL 36066-7755
Phone
(334) 380-4930
Fax
(334) 380-4931
NPI assigned
Sep 8, 2016
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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 PTH8153 AL Primary

Addresses

Primary practice location

2703 Legends Pkwy
Prattville, AL 36066-7755

Mailing address

2531 Rocky Ridge Rd
Suite 101
Vestavia, AL 35243-4415
Phone (205) 978-7376

Other names 1

  • Olivia Elaine Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914000888 AL Practitioner - Physical Therapist in Private Practice 0648566885 Reassigns benefits to 3 organizations
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH8153ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Sep 9, 2016 Accepting new patients
Hughston Clinic, P.C. CurrentSince Jun 1, 2022 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Sep 9, 2016 Accepting new patients
Aldridge Physical Therapy, LLC Physical Therapist CurrentSince Feb 12, 2018 Accepting new patients
Hughston Clinic, PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

2408 E University Dr
Ste 106
Auburn, AL 36830
Phone (334) 275-4636

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

323 Greenville Byp
Ste C
Greenville, AL 36037
Phone (334) 665-4368

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4294 Lomac St
Montgomery, AL 36106
Phone (205) 933-8588

4810 Woods Crossing Dr
Montgomery, AL 36106
Phone (334) 239-9316

2703 Legends Pkwy
Prattville, AL 36066
Phone (334) 380-4930

459 E Main St
Prattville, AL 36067
Phone (334) 356-6107

2523 US Highway 80 W
Selma, AL 36701
Phone (334) 875-2960

2531 Rocky Ridge Rd
Ste 101
Vestavia, AL 35243
Phone (205) 453-9350

Organizations & group practices 5

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1902353857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 ROCKY RIDGE RD",
            "address_2": "SUITE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434415",
            "telephone_number": "205-978-7376",
            "fax_number": "205-978-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 LEGENDS PKWY",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667755",
            "telephone_number": "334-380-4930",
            "fax_number": "334-380-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "OLIVIA",
        "middle_name": "ELAINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "WALKER",
            "middle_name": "ELAINE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.