Amber Nicole Calhoun, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38874 Issued in FL

Practice address

130 Letourneau Circle
Building 90311
Hurlburt Field AFB, FL 32544

Phone

(850) 881-4257

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amber Nicole Johnston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Resolute Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Navarre, FL
  • NPI 1831804228
  NPD Authorized official
• Pro Vita Physical Therapy LLC

  dba Pro Vita Physical Therapy - Shalimar

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1841944535
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1205502242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LETOURNEAU CIRCLE",
            "address_2": "BUILDING 90311",
            "city": "HURLBURT FIELD AFB",
            "state": "FL",
            "postal_code": "32544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LETOURNEAU CIRCLE",
            "address_2": "BUILDING 90311",
            "city": "HURLBURT FIELD AFB",
            "state": "FL",
            "postal_code": "32544",
            "telephone_number": "850-881-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "161164022",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "JOHNSTON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Ann Andrus, LCSW
• Daniel Carl Brunner, PA-C

• Physical Therapist in Hurlburt Field AFB, FL
• Providers in Hurlburt Field AFB, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.