NPI 1265948616 · live from the CMS NPI Registry
Byron Campbell, LAT, PT
Physical Therapist in Clermont, FL. National Provider Identifier 1265948616, active.
NPI record
| NPI | 1265948616 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1804 Oakley Seaver Dr, Clermont, FL 34711 |
| Practice phone | 352-989-5838 |
| Mailing address | 336 Broad St # 203, Rome, GA 30161 |
| Enumerated | December 21, 2017 |
| Last updated | September 16, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist/Technologist, Athletic Trainer | 2255A2300X | A0001035 (MD) |
| Physical Therapist primary | 225100000X | PT37819 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.