Caleb Doup, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017832 Issued in OH

Practice address

781 Fairgrounds Rd Ste a
Mount Vernon, OH 43050-1165

Phone

(740) 263-7997

NPI assigned

Jan 13, 2016

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportpro LLCGroup PAC ID 6305142571, 2 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.

• Sportpro LLC

  • Physical Therapy Clinic/Center
  • Mount Vernon, OH
  • NPI 1881069789

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1285090704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 FAIRGROUNDS RD STE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501165",
            "telephone_number": "740-263-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 FAIRGROUNDS RD STE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501165",
            "telephone_number": "740-263-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUP",
        "first_name": "CALEB",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "017832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Doane, RN
• Jodi Dome-Linger, DO
• Kenneth Herbert Doolittle II, MD
• Sydny Alexis Dorsey, PMHNP-BC
• Allison R Doup, CNP
• Lindsay J Douros, CMS
• Dove Dental Services LLC (Dove Dental Services)
• David Noel Dove, D.D.S.
• McKenna N Dowdell
• Joseph P Downes, CDCA

• Physical Therapist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.