Glenn Marvin Campbell, OTRIL PTA
NPI 1619967148ActiveIndividual· Physical Therapy Assistant· Elmendorf Afb, AK
Physical Therapy Assistant (OTRIL PTA) in Elmendorf Afb, Alaska, licensed in PA, with an NPI issued in October 2005.
Overview
| NPI | 1619967148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTRIL PTA |
| Sole proprietor | No |
| NPI issued | Oct 26, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | TE000241L | PA |
| Occupational Therapist | 225X00000X | OC002460L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Elmendorf Afb
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