Individual provider Active NPI

Teofanie C Campbell, P.T.

  • Physical Therapist
  • Gulf Breeze, FL
National Provider Identifier
1972842250
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10273 Issued in FL
Practice address
105 Florida Ave
Gulf Breeze, FL 32561-4237
Phone
(850) 292-4123
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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 PT10273 FL Primary

Addresses

Primary practice location

105 Florida Ave
Gulf Breeze, FL 32561-4237

Mailing address

105 Florida Ave
Gulf Breeze, FL 32561-4237
Phone (850) 292-4123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105001392 FL Practitioner - Physical Therapist in Private Practice 3577979095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accessible Physical Therapy IncGroup PAC ID 6608256805, 11 clinicians

Practice addresses (Care Compare)

10075 Hillview Dr
Pensacola, FL 32514-5469
Phone (662) 714-3122

1810 W Cervantes St
Pensacola, FL 32501-0001
Phone (406) 253-9498

8601 N Davis Hwy
Pensacola, FL 32514-5932
Phone (662) 714-3122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10273FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Accessible Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

1810 W Cervantes St
Pensacola, FL 32501
Phone (406) 253-9498

8601 N Davis Hwy
Pensacola, FL 32514
Phone (850) 390-8991

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1972842250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FLORIDA AVE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614237",
            "telephone_number": "850-292-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FLORIDA AVE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614237",
            "telephone_number": "850-292-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TEOFANIE",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.