Trevor G. Campbell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604177 Issued in VA

Practice address

1421 3Rd St SW
Roanoke, VA 24016-5204

Phone

(540) 982-2208

Fax

(540) 982-7637

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1982059655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165204",
            "telephone_number": "540-982-2208",
            "fax_number": "540-982-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165204",
            "telephone_number": "540-982-2208",
            "fax_number": "540-982-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TREVOR",
        "middle_name": "G.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Alissa Campbell
• Diane Campbell, DNP, FNP-C
• Kelsey O Campbell, MS, CCC/SLP
• Leopold G Campbell, MD
• Paul Burton Campbell III, BSN,CRNFA
• Molly P Camper, ACNP
• Fernanda Campos Rosetti
• Lauren Ann Canary, MD
• Candis Assisted Living (Candis Inc.)
• Shameka Demay Carr Cannaday

• Physical Therapy Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.