Diane Campanaro

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3067 Issued in MD

Practice address

15201 Shady Grove Rd Ste 106
Rockville, MD 20850-3217

Phone

(301) 948-4395

Fax

(301) 407-1860

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primary Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Rockville, MD
  • NPI 1205380011
  NPD
• Seneca Physical Therapy Inc

  • Physical Therapist
  • Rockville, MD
  • NPI 1437182177
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1922638592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-407-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-407-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10215 Fernwood Rd Ste 506",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171184",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPANARO",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majuana Camillus
• Edelyn Camilo
• Ajai Cammon
• Marie Celeste Campagnone, M.D.
• Jessica Campain, LGPC
• Oscar Campanet
• Anthony Bernard Campbell, D.O.
• Bianca Campbell
• Chasity Campbell
• Craig Alan Campbell, M.D.

• Physical Therapy Assistant in Rockville, MD
• Providers in Rockville, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.

Verify at the official NPI Registry.