Active NPI
Joel Calderon, PT
- Physical Therapist
- White Plains, NY
National Provider Identifier
1437129053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025680-1
- Practice address
- 416 Woodland Hills Rd
White Plains, NY 10603-3135 - Phone
- (914) 512-0103
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 025680-1 | NY | Primary |
Addresses
Primary practice location
416 Woodland Hills Rd
White Plains, NY 10603-3135
Mailing address
416 Woodland Hills Rd
White Plains, NY 10603-3135
Phone (914) 512-0103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840567 | Other | NY | MANAGED PHYSICAL NETWORK |
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 |
|---|---|---|---|
| 025680-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1437129053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 WOODLAND HILLS RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033135",
"telephone_number": "914-512-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 WOODLAND HILLS RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033135",
"telephone_number": "914-512-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "JOEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025680-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED PHYSICAL NETWORK",
"identifier": "840567",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.