WYNTON CAMPBELL
NPI 1104553767
Occupational Therapist in Addison, TX

Active since August 04, 2022
5057 KELLER SPRINGS RD STE 150, ADDISON, TX 75001(800) 420-1036 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wynton Campbell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYNTON CAMPBELL (NPI 1104553767) is an individual occupational therapist in Addison, Texas and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1104553767
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameWYNTON CAMPBELL
Location Address5057 KELLER SPRINGS RD STE 150Addison, TX 75001-6217
Mailing Address5057 Keller Springs Rd Ste 150Addison, TX 75001-6217 · (800) 420-1036
Sole ProprietorNo
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
✔ NPI 1104553767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
5057 KELLER SPRINGS RD STE 150, Addison, TX 75001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wynton Campbell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Wynton Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
601 CLEVELAND ST STE 330
Clearwater, FL 33755
  • Reassigned Medicare billing, Florida enrollment
  • 27 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5057 KELLER SPRINGS RD STE 150
ADDISON, TX 75001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wynton Campbell's NPI number?

The NPI number for Wynton Campbell is 1104553767. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Wynton Campbell located?

Wynton Campbell practices at 5057 Keller Springs Rd Ste 150, Addison, TX 75001. The listed phone number is (800) 420-1036.

What is Wynton Campbell's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Wynton Campbell enrolled in Medicare?

Yes. Wynton Campbell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wynton Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wynton Campbell reassigns Medicare benefits to Qrm Plus Florida - Ot LLC (Clearwater, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wynton Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wynton Campbell was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.