Callan Madden, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300459 Issued in CA

Practice address

3300 Irvine Ave Ste 130
Newport Beach, CA 92660-3119

Phone

(949) 271-0053

Fax

(949) 271-9453

NPI assigned

Jul 20, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coury & Buehler Physical Therapy - Irvine, Inc.

  • Physical Therapy Clinic/Center
  • Irvine, CA
  • NPI 1477822807

  Physical Therapist

  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Lake Forest, Inc.

  • Physical Therapist
  • Lake Forest, CA
  • NPI 1316342033
  Medicare reassignment NPD
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Anaheim, CA
  • NPI 1891960258
  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Irvine, Inc.

  • Physical Therapist
  • Irvine, CA
  • NPI 1811655954
  NPD
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Brea, CA
  • NPI 1790709194
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1508439209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 IRVINE AVE STE 130",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603119",
            "telephone_number": "949-271-0053",
            "fax_number": "949-271-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "CALLAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubi Macias
• Alexandra Maciel
• Scott Mackay, ATC
• Tara Mackenzie, OTR
• Gabriela Mackey, PHARMD
• Erin K Madden, LCSW
• George Weston Maddox II, D.D.S.
• Glenn Douglas Madokoro, M.D.
• Emma Madorsky
• Leilah R Madorsky, LCSW

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.