Active NPI
Mark Calderbank, P.T.
- Physical Therapist
- Burlingame, CA
National Provider Identifier
1407806813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 27360
- Practice address
- 1828 El Camino Real
#702
Burlingame, CA 94010-3103 - Phone
- (650) 692-4811
- Fax
- (650) 692-4817
- NPI assigned
- May 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 27360 | CA | Primary |
Addresses
Primary practice location
1828 El Camino Real
#702
Burlingame, CA 94010-3103
Mailing address
1170 Foster City Blvd
315
Foster City, CA 94404-3374
Phone (650) 619-5845
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27360 | CA | MD | Marriage & Family Therapist |
| PT 27360 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restor Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Burlingame Therapeutic Associatesii | Physical Therapist | Past | Accepting new patients |
| Richard P Carr Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Burlingame, CA
- NPI 1306998513
Physical Therapist
-
- Physical Therapy Clinic/Center
- Mountain View, CA
- NPI 1023056140
Physical Therapist
-
dba Burlingame Therapeutic Associates II
- Physical Therapist
- Burlingame, CA
- NPI 1487637526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407806813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 FOSTER CITY BLVD",
"address_2": "315",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944043374",
"telephone_number": "650-619-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 EL CAMINO REAL",
"address_2": "#702",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103103",
"telephone_number": "650-692-4811",
"fax_number": "650-692-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERBANK",
"first_name": "MARK",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 27360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.