Kari Anne Callahan, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400003645 Issued in VT

Practice address

1138 Farmington Ave
Berlin, CT 06037

Phone

(860) 829-5511

Fax

(860) 829-5577

NPI assigned

Aug 8, 2006

Last updated

Jan 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Vermont College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Physical Therapy and Sports Medicine LLCGroup PAC ID 6800970500, 8 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Focus Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Berlin, CT
  • NPI 1780868505

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Brian Aucter Physical Therapy PLC

  • Physical Therapist
  • Jeffersonville, VT
  • NPI 1801519681
  NPD (past)
• Poulin Performance, Inc.

  dba Poulin Performance and Rehabilitation Center

  • Physical Therapist
  • South Burlington, VT
  • NPI 1174553283
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1255341848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060370452",
            "telephone_number": "860-829-5511",
            "fax_number": "860-829-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 FARMINGTON AVE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "06037",
            "telephone_number": "860-829-5511",
            "fax_number": "860-829-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "KARI",
        "middle_name": "ANNE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68805",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011752",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0003645",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Kristine Brown
• Kimberly Brunnock, OT/R
• Kamil Budnik, PHARM.D
• Ian P Burruss, BCBA
• Liz C Calderon, RPH
• Stacy Camp
• Care 4 U Pharmacy, Inc.
• Erin H Carrubba, LPC
• Central Connecticut Pediatrics LLC
• Central CT Sports Medicine Center (Central CT Physical Medicine)

• Physical Therapist in Berlin, CT
• Providers in Berlin, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.