Healthcare Provider Details

I. General information

NPI: 1427025618
Provider Name (Legal Business Name): CAMPBELL THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 PROSPECT AVE SUITE 292
MELBOURNE FL
32901-7396
US

IV. Provider business mailing address

1220 EAST PROSPECT AVE. SUITE 292
MELBOURNE FL
32901
US

V. Phone/Fax

Practice location:
  • Phone: 321-952-2110
  • Fax: 321-952-2692
Mailing address:
  • Phone: 321-952-2110
  • Fax: 321-952-2692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROL C DAVIS
Title or Position: ASSISTANT OFFICE MANAGER
Credential:
Phone: 321-952-2110