Active NPIIndividual provider

Mary Ellen Campbell, PTA

Physical Therapy Assistant in Peabody, Massachusetts

NPI Number1235193244
Practice location
2 Essex Center Dr, Peabody, MA 01960-2902
Fax
—
Last updated
April 7, 2009

Mary Ellen Campbell is a Physical Therapy Assistant based in Peabody, MA. Mary Ellen Campbell practices in Peabody, MA and has the professional credentials of PTA. The NPI Number for Mary Ellen Campbell is 1235193244 and holds a License No. 557 (MA). The current practice location address for Mary Ellen Campbell is 2 Essex Center Dr, Peabody, MA 01960-2902 and can be reached out via phone at 978-977-4115.

Provider Profile Details

NPI Number
1235193244
Provider Name
Mary Ellen Campbell
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
2 Essex Center Dr, Peabody, MA 01960-2902
Phone Number
978-977-4115
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2006
Last Update Date
April 7, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Essex Center Dr
Peabody, MA 01960-2902
Zip
01960-2902
Phone Number
978-977-4115
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
147 Milk St
Provider Enrollment 9TH Floor
Boston, MA 02109-4806
City
Boston
State
MA
Zip
02109-4806
Phone Number
617-559-8051

License Information

License Number
557
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Ellen Campbell, PTA?

The NPI number of Mary Ellen Campbell, PTA is 1235193244. It was assigned on April 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary Ellen Campbell, PTA?

Mary Ellen Campbell, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 557.

Where does Mary Ellen Campbell, PTA practice?

The practice location is 2 Essex Center Dr, Peabody, MA 01960-2902. The office can be reached at 978-977-4115 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235193244 directly on the NPPES registry website.

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