Jeremy Daniel Calame, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.017889 Issued in IL

Practice address

2000 W Pioneer Pkwy Ste 22
Peoria, IL 61615-5805

Phone

(309) 670-0853

Fax

(309) 279-5211

NPI assigned

Jul 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moose Physical Therapy, PLLCGroup PAC ID 7517378391, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Apostolic Christian Home

  • Skilled Nursing Facility
  • Peoria, IL
  • NPI 1255345542

  Corporate Officer

  CMS ownership

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.

• Moose Physical Therapy, PLLC

  • Physical Therapist
  • Peoria, IL
  • NPI 1053927640
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1164735601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 N PARK EDGE CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 22",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616155805",
            "telephone_number": "309-670-0853",
            "fax_number": "309-279-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAME",
        "first_name": "JEREMY",
        "middle_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siddiqh Cade
• Karen Cadet-Saintilus, M.D.
• Shelby Caho, RD, LDN
• Stephanie Cain, APN, DNP
• Timothy Cain, MAC
• Nicole M Calbow, DPT
• Carolyn Ann Calhoun, APN, CNM
• Lindsay Kristine Call, LCPC
• Gayle Vincent Callahan, PHD
• Lindsey N Callahan, PT

• Physical Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.