Campus Commons Physical Therapy

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

Legal business name

CAMPUS COMMONS PHYSICAL THERAPY

Practice address

1411 Secret Ravine
Ste 100
Roseville, CA 95661

Phone

(916) 789-0262

Fax

(916) 789-0282

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Anne Lasson

Title

Vice President

Phone

(408) 570-0510

Specialties & licenses 3

Addresses

Other identifiers 2

Tax ID family

Campus Commons Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Campus Commons Physical Therapy

  • Occupational Therapist
  • Sacramento, CA
  • NPI 1811970965
  NPD tax ID
• Campus Commons Physical Therapy, Inc.

  • Physical Therapist
  • Sacramento, CA
  • NPI 1992787477
  NPD tax ID

Locations

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992788053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951612260",
            "telephone_number": "877-325-2776",
            "fax_number": "408-945-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SECRET RAVINE",
            "address_2": "STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-789-0262",
            "fax_number": "916-789-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS COMMONS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-570-0510"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2211662",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ06750Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant McKenzie Campbell, MD
• Katherine M Campbell, M.A.
• Matthew Campbell
• Trevor David Campbell, DO
• Jasmin Campos
• Dina Marie Canavero, MEDICAL DOCTOR
• Michelle Ann-Marie Canete
• John B. Canio, M.D.
• Douglas Ocampo Canlas II, M.D.
• Kim David O. Canlas, M.D.

• Hand Occupational Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.