Active NPI
Mark Gregory Calaway, P.T.
- Orthopedic Physical Therapist
- Little Rock, AR
National Provider Identifier
1497713531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT1208
- Practice address
- 600 S McKinley St
Suite 210
Little Rock, AR 72205-5202 - Phone
- (501) 225-0181
- Fax
- (501) 225-0384
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT1208 | AR | |
| Orthopedic Physical Therapist | 2251X0800X | PT1208 | AR | Primary |
Addresses
Primary practice location
600 S McKinley St
Suite 210
Little Rock, AR 72205-5202
Mailing address
600 S McKinley St
Suite 210
Little Rock, AR 72205-5202
Phone (501) 225-0181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00753833 | Other | AR | RRM |
| PT1208 | Other | AR | ASB OF PT |
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 |
|---|---|---|---|
| PT1208 | AR | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoarkansas, PA | 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 and National Provider Directory roles.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Little Rock, AR
- NPI 1861459315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1497713531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S MCKINLEY ST",
"address_2": "SUITE 210",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055202",
"telephone_number": "501-225-0181",
"fax_number": "501-225-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S MCKINLEY ST",
"address_2": "SUITE 210",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055202",
"telephone_number": "501-225-0181",
"fax_number": "501-225-0384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALAWAY",
"first_name": "MARK",
"middle_name": "GREGORY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AR",
"license": "PT1208",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AR",
"license": "PT1208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "P00753833",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASB OF PT",
"identifier": "PT1208",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.