Heather Corrine Calbreath, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2020036131 Issued in MO

Practice address

9645 Big Bend Blvd
Saint Louis, MO 63122-6521

Phone

(314) 968-5460

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

No

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

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1417526104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 CREEKVIEW TRL APT 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631232462",
            "telephone_number": "314-348-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226521",
            "telephone_number": "314-968-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALBREATH",
        "first_name": "HEATHER",
        "middle_name": "CORRINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2020036131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omer Faruk Cakir, MD
• Abigail Calabio, FNP-BC
• Karen Ann Calabria, D.O.
• Nandini Calamur
• Anthony WM Calandro, DC
• Angela J Calcaterra, LCSW
• Curt E Calcaterra, M.D.
• John A Calcaterra Jr., RPH
• Margaret L Calcaterra, DPT
• Mark Caldarola, OD

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.