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

Sean Campbell, MASTERS

Individual provider Physical Therapist · NPI 1508907395

Sean Campbell, MASTERS is a Physical Therapist in Private Practice in Edwardsville, Illinois. Qualified in 2004, 22 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2007
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Practice location Address checks out

1047 Century Dr
Edwardsville, IL 62025-3772
Phone: (618) 307-3434
Fax: (618) 307-3435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070013930 (IL)

Record details

NPI number1508907395
Entity typeIndividual (Type 1)
GenderMale
Credentials MASTERS
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESDecember 27, 2016
Mailing address625 Enterprise Dr, Oak Brook, IL 60523-8813

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edwardsville