Sharon E McCallum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002511 Issued in WA

Practice address

1101 Madison Suite #200
Outpatient Rehab Services - Swedish Medical Center
Seattle, WA 98104-4307

Phone

(206) 386-2545

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104979756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 27TH PL W APT 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981992055",
            "telephone_number": "206-419-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON SUITE #200",
            "address_2": "OUTPATIENT REHAB SERVICES - SWEDISH MEDICAL CENTER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044307",
            "telephone_number": "206-386-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "SHARON",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES#",
            "identifier": "0039585",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA SPECIALIST PIN",
            "identifier": "US1051957",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "MC2179",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie McCall
• Sarah Ruby McCall, LMT
• Chelsie McCalla, COTA
• Lisa McCallister
• Laurel Elizabeth McCallon
• Kristine McCambly, RN
• Carol R. McCandless, M.D.
• Kyle Taylor McCandless, D.C.
• Stacey L. McCandlish, MSW
• Barbara S McCann

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.