Individual provider Active NPI

Rebecca Campbell, PTA

  • Physical Therapy Assistant
  • Dayton, OH
National Provider Identifier
1942944210
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
3797 Summit Glen Dr
Dayton, OH 45449-3657
Phone
(513) 504-5639
NPI assigned
Apr 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X OH Primary

Addresses

Primary practice location

3797 Summit Glen Dr
Dayton, OH 45449-3657

Mailing address

5764 Long Valley Dr
Liberty TWP, OH 45011-1371

Other practice location 1

5764 Long Valley Dr
Liberty Twp, OH 45011-1371
Phone (513) 504-5639

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": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1942944210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5764 LONG VALLEY DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450111371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3797 SUMMIT GLEN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493657",
            "telephone_number": "513-504-5639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5764 Long Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty Twp",
            "state": "OH",
            "postal_code": "450111371",
            "country_code": "US",
            "telephone_number": "513-504-5639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "REBECCA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.