Individual provider Active NPI

Tara Anne Callahan, PTA

  • Physical Therapy Assistant
  • Greenwood, SC
National Provider Identifier
1477837227
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1420 Issued in SC
Practice address
437 E Cambridge Ave
437 E. Cambridge Ave.
Greenwood, SC 29646-2244
Phone
(864) 223-1950
Fax
(864) 330-3001
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1420 SC Primary

Addresses

Primary practice location

437 E Cambridge Ave
437 E. Cambridge Ave.
Greenwood, SC 29646-2244

Mailing address

PO Box 3109
Greenwood, SC 29648-3109
Phone (864) 223-1950

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NHC Healthcare-Greenwood LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1477837227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3109",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296483109",
            "telephone_number": "864-223-1950",
            "fax_number": "864-330-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 E CAMBRIDGE AVE",
            "address_2": "437 E. CAMBRIDGE AVE.",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462244",
            "telephone_number": "864-223-1950",
            "fax_number": "864-330-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "TARA",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.