Individual provider Active NPI

Edith W Calaway, PT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1386757474
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1209 Issued in AR
Practice address
600 S McKinley St
Suite 210
Little Rock, AR 72205-5202
Phone
(501) 225-0181
Fax
(501) 225-0384
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 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 PT 1209 AR Primary

Addresses

Primary practice location

600 S McKinley St
Suite 210
Little Rock, AR 72205-5202

Mailing address

600 S McKinley St
Suite 210
Little Rock, AR 72205-5202
Phone (501) 225-0181

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 1209ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoarkansas, PA PastSince Jan 1, 1990 Accepting new patients
Orthoarkansas, PA PastSince Jan 1, 1990 Accepting new patients
Orthoarkansas, PA PastSince Jan 1, 1990 Accepting new patients
Orthoarkansas, PA PastSince Jan 1, 1990 Accepting new patients
Orthoarkansas, PA PastSince Jan 1, 1990 Accepting new patients
Orthoarkansas, PA PastSince Jan 1, 1990 Accepting new patients
Orthoarkansas, PA PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1386757474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "address_2": "SUITE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-225-0181",
            "fax_number": "501-225-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "address_2": "SUITE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-225-0181",
            "fax_number": "501-225-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAWAY",
        "first_name": "EDITH",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.