Active NPI
Zane Callister, DPT
- Physical Therapist
- Washington Terrace, UT
National Provider Identifier
1124772819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9415878-2401
- Practice address
- 5484 Adams Ave Pkwy
Washington Terrace, UT 84405-4729 - Phone
- (801) 608-8056
- NPI assigned
- Feb 10, 2022
- Sex
- Male
- 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 Therapist | 225100000X | 9415878-2401 | UT | Primary |
Addresses
Primary practice location
5484 Adams Ave Pkwy
Washington Terrace, UT 84405-4729
Mailing address
517 E 300 N
Brigham City, UT 84302-1905
Phone (435) 230-9177
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 |
|---|---|---|---|
| 9415878-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT Innovations, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Layton, UT
- NPI 1578082954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1124772819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 E 300 N",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843021905",
"telephone_number": "435-230-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5484 ADAMS AVE PKWY",
"city": "WASHINGTON TERRACE",
"state": "UT",
"postal_code": "844054729",
"telephone_number": "801-608-8056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLISTER",
"first_name": "ZANE",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "9415878-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington Terrace, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.