Mary K. Callaway, P.T.
Individual provider Active NPI Physical Therapist · La Palma, CA
NPI 1144352188 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144352188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 17838 (CA)
- Practice address
- 7851 Walker St
Suite 202
La Palma, CA 90623-1747 - Phone
- (714) 739-4941
- Fax
- (714) 670-8711
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- La Palma Physical Therapy and Sports Medicine Corporation
Practice addresses (Care Compare)
7851 Walker St
Suite 202
La Palma, CA 90623-1746
Phone (626) 674-1919
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120412000301 | CA | Practitioner - Physical Therapist in Private Practice | 3274794623 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 17838 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 17838 | CA | Yes |
Addresses
Primary practice location
7851 Walker St
Suite 202
La Palma, CA 90623-1747
Mailing address
1740 Harding Ave
Altadena, CA 91001-3608
Phone (714) 739-4941
Other providers in La Palma, CA
- Brianna Nicole Burke
- Makalah Bush
- Venus Byrd
- Mikal Marie Caldwell-Miller
- Shaniqua J Caleb-Coston
- Jennifer Camarena
- Crismarie Sapalicio Capalac
- Mercedes Cardoza
- Care Medical, a California Corporation Dba California Cpap
- Jasmine Alyssa Carlos
All providers in La Palma, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.