Calli Light, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216714 Issued in VA

Practice address

6712 Kimball Dr
Gig Harbor, WA 98335-1212

Phone

(253) 514-6757

Fax

(253) 432-4075

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Calli Neal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1356174163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351212",
            "telephone_number": "253-514-6757",
            "fax_number": "253-432-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W Edge Way Ste 10",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245025906",
            "country_code": "US",
            "telephone_number": "434-200-8215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "CALLI",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.70169347",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLI",
            "last_name": "NEAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xiao Kristin Liang, MD
• Vanson Reyes Libre, M.D.
• Melissa Sue Lichau, LMHC
• Megan Elissa Lichtwardt, DMD
• Sarah May Lidren, L.M.P.
• Susanne Faulkner Liljegren, MA
• Jacqueline Elizabeth Lincoln-Lien, RN
• Linda J Macdonald, M.S.
• Rothaanne Lindberg, LMP
• Valerie Ling

• Physical Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.