Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shea Kl Campbell, PT, DPT

Individual provider Orthopedic Physical Therapist · NPI 1871979195

Mr. Shea Kl Campbell, PT, DPT is a Physical Therapist in Private Practice in Surprise, Arizona. Qualified in 2015, 11 years ago. Practices with Modern Sports Medicine LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12691 W Smokey Dr Ste 128
Surprise, AZ 85378-3801
Phone: (623) 234-4171
Fax: (623) 234-4173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 11726 (AZ)

Record details

NPI number1871979195
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESDecember 8, 2022
Certification dateOctober 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Modern Sports Medicine Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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