Active NPI
Clint Richard Kalbach, DPT
- Physical Therapist
- Monterey, VA
National Provider Identifier
1013142652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205933
- Practice address
- 120 Jackson River Rd
Monterey, VA 24465-2416 - Phone
- (540) 468-6400
- Fax
- (540) 468-3301
- NPI assigned
- May 27, 2009
- Last updated
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2305205933 | VA | |
| Physical Therapist | 225100000X | 2305205933 | VA | Primary |
Addresses
Primary practice location
120 Jackson River Rd
Monterey, VA 24465-2416
Mailing address
PO Box 490
Monterey, VA 24465-0490
Phone (540) 247-1751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305205933 | Other | VA | VIRGINIA STATE PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Jackson River Rd
Monterey, VA 24465-2416
Phone (540) 468-6402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305205933 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Medical Center Inc | Current | Accepting new patients | |
| Highland Medical Center Inc | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15976/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/26465/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/CBJFAA/Endpoint/CBJFAA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Monterey, VA
- NPI 1194784280
-
dba Highland Medical Center School Base Healthcare
- Federally Qualified Health Center (FQHC)
- Monterey, VA
- NPI 1427376862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1013142652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "MONTEREY",
"state": "VA",
"postal_code": "244650490",
"telephone_number": "540-247-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 JACKSON RIVER RD",
"city": "MONTEREY",
"state": "VA",
"postal_code": "244652416",
"telephone_number": "540-468-6400",
"fax_number": "540-468-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALBACH",
"first_name": "CLINT",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-27",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "2305205933",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA STATE PHYSICAL THERAPY LICENSE",
"identifier": "2305205933",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, VA
- Highland County Volunteer Rescue Squad, Inc
- Highland Medical Center Inc
- Highland Medical Center Inc (HMC Pharmacy)
- Highland Medical Center Inc (Highland Medical Center School Base Healthcare)
- Barbara D Howell, FNP
- Rhonda Joy Lambert, PT
- Taylor W Lightner, FNP-BC
- Cynthia T. Maerz, RD
- Annette Naber, PH.D
- Adam Nicholas Parker, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.