Active NPI
Veronika Marie Campbell, PT, MPT, CSCS, NSC
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1982655221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6421
- Practice address
- 20325 N 51St Ave Suite 134
Glendale, AZ 85308 - Phone
- (313) 461-3805
- NPI assigned
- May 12, 2006
- Last updated
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6421 | AZ | Primary |
Addresses
Primary practice location
20325 N 51St Ave Suite 134
Glendale, AZ 85308
Mailing address
20325 N 51St Ave Suite #134
Glendale, AZ 85308
Phone (313) 461-3805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386864262 | Other | AZ | BCBS |
| 2Z7238 | Other | HEALTHNET |
Other names 1
- Veronika Marie Campbell
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6421 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northcutt Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
| Peggy Langley | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1386864262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1982655221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE SUITE #134",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "313-461-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE SUITE 134",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "313-461-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "VERONIKA",
"middle_name": "MARIE",
"credential": "PT, MPT, CSCS, NSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1386864262",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2Z7238",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VERONIKA",
"last_name": "CAMPBELL",
"middle_name": "MARIE",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.