Stacy Campbell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009879 Issued in OH

Practice address

7750 Paragon Rd
Dayton, OH 45459-4050

Phone

(937) 800-1030

Fax

(937) 291-3789

NPI assigned

Apr 9, 2025

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buckeye Senior Rehab LLCGroup PAC ID 4284017542, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buckeye Senior Rehab LLC

  • Physical Therapist
  • Dayton, OH
  • NPI 1265167233
  Medicare reassignment Care Compare group NPD
• Buckeye Senior Rehab LLC

  dba Seasons Senior Rehab

  • Physical Therapist
  • Lawton, MI
  • NPI 1316646730
  NPD

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1922892355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7738 E BAY DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 PARAGON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594050",
            "telephone_number": "937-800-1030",
            "fax_number": "937-291-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Campbell
• Mycheal Rochelle Campbell
• Rebecca Campbell, PTA
• Savannah Campbell
• Sharee L Campbell, LSW
• Talitra Campbell
• Tallon Campbell
• Tameeker Campbell
• Trischelle D Campbell
• Willona Ciara Campbell

• Physical Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.