DR. SHANNON CAMPBELL (NPI# 1598318016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598318016 |
| Entity Type | Individual |
| Full Name | DR. SHANNON CAMPBELL |
| Credential | DPT |
| Practice Address |
500 W Grant St Lake City MN 55041-1143 |
| Practice Telephone | 6513451129 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11497 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 434 Main St, Red Wing, MN 550662323 | 6512672440 | |
| 701 Hewitt Blvd, Red Wing, MN 550662848 | 6512675000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414200 | Shannon Kohlenberg Campbell | Social Worker | 5562 Mesa Verde Ct, Fort Worth, TX 76137-4438 | 2019-12-13 |
| 1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
| 1780050419 | Shannon Campbell | Registered Nurse | 700 Charlestown Rd, Springfield, VT 05156-4400 | 2015-08-17 |
| 1538507439 | Shannon Campbell | Counselor | 4274 Nottingham Way, Hamilton, NJ 08690-3825 | 2013-06-13 |
| 1225376395 | Shannon Diane Campbell | Specialist/Technologist | 4609 W Banff Ln, Glendale, AZ 85306-3607 | 2013-01-24 |
| 1407013550 | Shannon Marie Campbell | Dentist | 31450 W Seven Mile Road, Suite 109, Livonia, MI 48152-1375 | 2008-05-16 |
| 1801855440 | Shannon D Campbell | Specialist/Technologist | 1114 9th Ave, Lewiston, ID 83501-2659 | 2006-03-22 |
| 1538783733 | Shannon Campbell | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-06-03 |
| 1568081248 | Shannon Campbell | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-13 |
| 1740826494 | Shannon P Campbell | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2019-11-18 |
| Street Address |
500 W GRANT ST |
| City | LAKE CITY |
| State | MN |
| Zip Code | 55041-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650350 | Ann Marie Lowe | Family Medicine | 500 W Grant St, Lake City, MN 55041-1143 | 2005-12-15 |
| 1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
| 1447863972 | Mayo Clinic Health System-lake City | Non-Pharmacy Dispensing Site | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-25 |
| 1124638341 | Rebekah Richter | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-03 |
| 1225661416 | Patricia Elena Servin-hughes | Nurse Practitioner | 500 W Grant St, Lake City, MN 55041-1143 | 2020-02-17 |
| 1861965774 | Cole James Kriett | Physician Assistant | 500 W Grant St, Lake City, MN 55041-1143 | 2019-01-03 |
| 1992217673 | Tina Marie Montgomery | Speech-Language Pathologist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-11-02 |
| 1972015923 | Heather Nagel | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-10-31 |
| 1821500265 | Simone Leanne Lenertz | Occupational Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-10-25 |
| 1629580071 | Kelly Rehder | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
| 1790182335 | Innovative Chiropractic Center | Chiropractor | 201 D East Ave., Red Wing, MN 55041 | 2014-11-25 |
| 1245327147 | David F Valkos | Chiropractor | 106 So Washington St, Lake City, MN 55041 | 2006-10-10 |
| 1063441830 | Michael D Ackermann | Optometrist | 117 W Center St, Lake City, MN 55041 | 2006-07-02 |
| 1760668693 | Elizabeth Agnes Olson | Chiropractor | 106 S Washington St, Lake City, MN 55041-1034 | 2008-01-10 |
| 1194900936 | Valkos Chiropractic Office, LLC | Clinic/Center | 106 S Washington St, Lake City, MN 55041-1034 | 2007-12-28 |
| 1417333428 | River Oaks At Lake Pepin, LLC. | Home Health | 815 N High St, Lake City, MN 55041-1225 | 2015-08-03 |
| 1124189444 | Stephen Lee Brown | Dentist | 1350 N 7th St, Lake City, MN 55041-1251 | 2006-12-12 |
| 1114188307 | Pepin Valley Dental | Clinic/Center | 1350 N 7th St, Lake City, MN 55041-1251 | 2008-06-19 |
| 1366627564 | Lesa Ann Funke | Dental Hygienist | 1350 N 7th St, Lake City, MN 55041-1251 | 2008-01-07 |
| Find all providers in zip 55041 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178002 | Carolyn Grace Bool | Physical Therapist | 298 Sw Prosperity Pl, Lake City, FL 32024-0684 | 2020-06-09 |
| 1447788781 | Roy Edwin Belser Jr. | Physical Therapist | 148 Sauls St Ste B, Lake City, SC 29560-2677 | 2017-05-31 |
| 1265705347 | David Robert Kramp | Physical Therapist | 1900 South Lachance Rd, Lake City, MI 49651 | 2012-02-20 |
| 1144510090 | Piyush Parshottambhai Patel | Physical Therapist | 997 S Lakeshore Dr, Lake City, MI 49651-8750 | 2011-04-12 |
| 1992017602 | Bina B Patel | Physical Therapist | 561 Nw Lake Valley Ter, Lake City, FL 32055-8644 | 2010-07-10 |
| 1699897033 | Margaret Adine Vodnansky | Physical Therapist | 490 Nw Spring Hollow Blvd, Lake City, FL 32055-8165 | 2007-04-05 |
| 1730205006 | Teresa English | Physical Therapist | 930-b Ron Mcnair Blvd, Lake City, SC 29560-3831 | 2007-03-21 |
| 1003944828 | Tammy Sue Sanders | Physical Therapist | 1049 Sw Wester Dr, Lake City, FL 32024-1814 | 2007-03-01 |
| 1447303300 | Melinda Sganga | Physical Therapist | 1438 Sw Main Blvd, Lake City, FL 32025-1106 | 2007-01-22 |
| 1154428464 | James Eric Sendzik | Physical Therapist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2006-09-20 |
| Find all providers in LAKE CITY | ||||
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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.