Active NPI
S K Callahan, Physical Therapist, Inc.
Doing business as Southwest Medical Company
- Home Health Agency
- San Dimas, CA
National Provider Identifier
1467605832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- PT25293
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.