James Tyler Campbell, | |
10 Old Montgomery Hwy Ste 200, Homewood, AL 35209-6797 | |
(205) 271-6511 | |
Not Available |
Full Name | James Tyler Campbell |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 10 Old Montgomery Hwy Ste 200, Homewood, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497357677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH9956 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spine Group Alabama, Llc | 0840534053 | 10 |
Ryshaan Llc | 9739574393 | 2 |
Provider Name | Spine Group Alabama, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891276788 PECOS PAC ID: 0840534053 Enrollment ID: O20181128003541 |
Provider Name | Ryshaan Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437804697 PECOS PAC ID: 9739574393 Enrollment ID: O20220516002646 |
Mailing Address | Practice Location Address |
---|---|
James Tyler Campbell, 1851 S Lakeshore Dr, Vestavia Hills, AL 35216-1623 Ph: (205) 240-1611 | James Tyler Campbell, 10 Old Montgomery Hwy Ste 200, Homewood, AL 35209-6797 Ph: (205) 271-6511 |
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