Organization Active NPI

S K Callahan, Physical Therapist, Inc.

Doing business as Southwest Medical Company

  • Home Health Agency
  • San Dimas, CA
National Provider Identifier
1467605832
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PT25293 Issued in CA
Legal business name
S K CALLAHAN, PHYSICAL THERAPIST, INC.
Doing business as
Southwest Medical Company
Practice address
2006 Scarborough LN
San Dimas, CA 91773-3740
Phone
(626) 974-5665
Fax
(626) 974-5665
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Mr. Sean Kevin Callahan, M.P.T.
Title
President
Phone
(626) 974-5665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PT25293 CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2006 Scarborough LN
San Dimas, CA 91773-3740

Mailing address

1136 Via Verde
502
San Dimas, CA 91773-4401
Phone (626) 974-5665

Other names 1

  • SOUTHWEST MEDICAL COMPANY Doing business as

National Provider Directory

National Provider Directory

Locations

1136 Via Verde
#502
San Dimas, CA 91773

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1467605832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 VIA VERDE",
            "address_2": "502",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734401",
            "telephone_number": "626-974-5665",
            "fax_number": "626-974-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 SCARBOROUGH LN",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733740",
            "telephone_number": "626-974-5665",
            "fax_number": "626-974-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S K CALLAHAN, PHYSICAL THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-974-5665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "PT25293",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWEST MEDICAL COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.