Jeremy Daniel Kallus, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5562 Issued in TX

Practice address

16323 Silver Sky LN
Houston, TX 77095-1515

Phone

(281) 743-5267

NPI assigned

Sep 3, 2013

Sex

Male

Sole proprietor

Yes

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1497189989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16323 SILVER SKY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951515",
            "telephone_number": "281-743-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16323 SILVER SKY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951515",
            "telephone_number": "281-743-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLUS",
        "first_name": "JEREMY",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accamma David Kallel, NP
• David G Kallel, RPA
• Ajay Kallem
• Krystina Linn Kallemeyn, AUD
• Kayli Kallina, MD
• Fakhri Kalolwala, M.D.
• Rajat Kalra, MD
• Sahib Kalra
• Sarathi Kalra, MD, MPH
• Jasmine Kaur Kalsi, MD

• Athletic Trainer in Houston, TX
• Providers in Houston, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.