Individual provider Active NPI

Joseph Abernathy McCaleb, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1164720991
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10386 Issued in CO
Practice address
2955 Professional PL
Suite 200
Colorado Springs, CO 80904-8139
Phone
(719) 227-7079
Fax
(719) 227-7061
NPI assigned
Mar 2, 2011
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10386 CO Primary

Addresses

Primary practice location

2955 Professional PL
Suite 200
Colorado Springs, CO 80904-8139

Mailing address

2233 Academy PL
Suite 50
Colorado Springs, CO 80909-1696
Phone (719) 475-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130404000354 CO Practitioner - Physical Therapist in Private Practice 5395980874 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10386COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Potential RLLP Physical Therapist CurrentSince Jan 3, 2013 Accepting new patients
Action Potential RLLP Physical Therapist CurrentSince Jan 3, 2013 Accepting new patients
Physical Therapy & Industrial Services PC CurrentSince Mar 5, 2018 Accepting new patients
Great Moves Inc Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients
Action Potential RLLP Physical Therapist Current Accepting new patients
Strive Wellness PLLC PastSince Mar 5, 2023 Accepting new patients

Locations

1775 S 8th St
Colorado Springs, CO 80905
Phone (719) 477-6870

2233 Academy Pl
Ste 50
Colorado Springs, CO 80909
Phone (719) 347-9309

2955 Professional Pl
Ste 200
Colorado Springs, CO 80904
Phone (719) 227-7079

3601 S Pearl St
Unit 200
Englewood, CO 80113
Phone (303) 757-1554

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1164720991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ACADEMY PL",
            "address_2": "SUITE 50",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091696",
            "telephone_number": "719-475-0808",
            "fax_number": "719-745-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 PROFESSIONAL PL",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048139",
            "telephone_number": "719-227-7079",
            "fax_number": "719-227-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALEB",
        "first_name": "JOSEPH",
        "middle_name": "ABERNATHY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.