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 registered under 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
Show map & directions

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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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients248
Services billed 10,660 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Modern Sports Medicine LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 40 clinicians in the practice; 12 are shown here.

Other providers in Surprise