Active NPI
Kelli McCallum, P.T. ASSISTANT
- Physical Medicine & Rehabilitation Physician
- Manhattan, KS
National Provider Identifier
1073828091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 14-01835
- Practice address
- 1600 Charles PL
Manhattan, KS 66502-2750 - Phone
- (785) 537-4200
- Fax
- (785) 537-4354
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 14-01835 | KS | Primary |
Addresses
Primary practice location
1600 Charles PL
Manhattan, KS 66502-2750
Mailing address
1600 Charles PL
Manhattan, KS 66502-2750
Phone (785) 537-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-01835 | Other | KS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-01835 | KS | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1073828091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CHARLES PL",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022750",
"telephone_number": "785-537-4200",
"fax_number": "785-537-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CHARLES PL",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022750",
"telephone_number": "785-537-4200",
"fax_number": "785-537-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLUM",
"first_name": "KELLI",
"credential": "P.T. ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-13",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KS",
"license": "14-01835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS LICENSE",
"identifier": "14-01835",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.