JUSTIN WAYNE CAMPBELL (NPI# 1205314044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205314044 |
| Entity Type | Individual |
| Full Name | JUSTIN WAYNE CAMPBELL |
| Credential | OTR/L |
| Practice Address |
2403 Woody Trace Ln Tampa FL 33612-7122 |
| Practice Telephone | 8133256548 |
| Mailing Telephone | 8133256548 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT19420 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450184 | Justin R Campbell | Counselor | 2019 E Spring St, New Albany, IN 47150-1664 | 2020-08-31 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1700961778 | Justin Dale Campbell | Chiropractor | 15495 N 247 Rd, Okmulgee, OK 74447-7969 | 2006-10-26 |
| 1619574738 | Justin Campbell | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2020-10-01 |
| 1700442258 | Justin Andrew Campbell | Physician Assistant | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-05-09 |
| 1811263676 | Justin E Campbell | Pharmacist | 9749 Montgomery Rd, Cincinnati, OH 45242-7207 | 2012-03-27 |
| 1033368063 | Justin Campbell | Dental Assistant | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2008-09-15 |
| 1427237080 | Justin D. Campbell | Internal Medicine | 121 N 20th St, #6, Opelika, AL 36801-5449 | 2007-10-31 |
| 1427173459 | Justin Ryan Campbell | Technician, Other | 100 Laurel Ridge, Polly Summit Group Home, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1568510485 | Justin Campbell | Optometrist | 280 Harbison Blvd Ste T, Columbia, SC 29212-2247 | 2007-01-08 |
| Street Address |
2403 WOODY TRACE LN |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184889 | Khojem Husamuddin Vora | Occupational Therapist | 18004 Lanai Isle Dr, Tampa, FL 33647-3377 | 2020-11-04 |
| 1053924894 | Sarah Michelle Roark | Occupational Therapist | 314 W Hamilton Ave, Tampa, FL 33604-5425 | 2020-08-30 |
| 1811508757 | Schnaidjina L Francois | Occupational Therapist | 3735 Fairview Cove Ln Apt 302, Tampa, FL 33619-3755 | 2020-08-13 |
| 1417583048 | Melanie Conway | Occupational Therapist | 1816 W Flora St, Tampa, FL 33604-5332 | 2020-03-16 |
| 1003442807 | Lauren Cheryl Sheridan | Occupational Therapist | 5035 E Busch Blvd Ste 7, Tampa, FL 33617-5310 | 2020-03-13 |
| 1528693454 | Allways At Home | Occupational Therapist | 315 S Plant Ave, Tampa, FL 33606-2325 | 2020-03-11 |
| 1962036228 | New Life Myofascial Release, LLC | Occupational Therapist | 2101 W State St, Tampa, FL 33606-1047 | 2020-02-26 |
| 1114550142 | Frances Jeanette Peguero | Occupational Therapist | 12304 Marblehead Dr, Tampa, FL 33626-2508 | 2020-02-18 |
| 1780141689 | Dacoda Garrett Anderson | Occupational Therapist | 14019 Clubhouse Cir Apt 1902, Tampa, FL 33618-7513 | 2019-02-27 |
| 1699242297 | Atul Taiwade | Occupational Therapist | 15624 N Himes Ave, Tampa, FL 33618-1602 | 2018-11-01 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.