Individual provider Active NPI

Joseph Michael Calvo, PT

  • Physical Therapist
  • Marlborough, CT
National Provider Identifier
1306853841
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2742 Issued in CT
Practice address
14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448
Phone
(860) 295-8188
Fax
(860) 295-8976
NPI assigned
Aug 1, 2006
Last updated
Jul 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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 2742 CT Primary

Addresses

Primary practice location

14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448

Mailing address

14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448
Phone (860) 295-8188

Other identifiers 2

IdentifierTypeStateIssuer
080002742CT01OtherCTBLUE CROSS BLUE SHEILD
004133865MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physical Therapy & Sports Medicine Services, P.C. Physical Therapist PastSince Apr 26, 2012 Accepting new patients
Valley Physical Therapy, LLC Past Accepting new patients

Organizations & group practices 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1306853841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD STE 7",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-8188",
            "fax_number": "860-295-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD STE 7",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-8188",
            "fax_number": "860-295-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "2742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "080002742CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004133865",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.