Individual provider Active NPI

Robert Lee Calhoon, OTR/CHT/COMT/MBA

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1518110717
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1921 Issued in AK
Practice address
615 E 82ND Ave
Ste B1
Anchorage, AK 99518-3100
Phone
(907) 250-3674
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9425 CA
Ergonomics Occupational Therapist 225XE1200X 1921 AK
Physical Rehabilitation Occupational Therapist 225XP0019X 1921 AK
Occupational Therapist 225X00000X 1921 AK Primary

Addresses

Primary practice location

615 E 82ND Ave
Ste B1
Anchorage, AK 99518-3100

Mailing address

615 E 82ND Ave
Ste B1
Anchorage, AK 99518-3100
Phone (907) 250-3674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000466 AK Practitioner - Occupational Therapist in Private Practice 5991866352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

615 E 82ND Ave
Suite B1
Anchorage, AK 99518-3100
Phone (907) 250-3674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
1921AKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoon Orthopaedic Rehabilitation & Exercise Occupational Therapist CurrentSince Jul 14, 2021 Accepting new patients
Advanced Physical Therapy Inc CurrentSince Aug 1, 2013 Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC Past Accepting new patients

Locations

615 E 82nd Ave
Ste B1
Anchorage, AK 99518
Phone (907) 250-3674

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1518110717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE",
            "address_2": "STE B1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183100",
            "telephone_number": "907-250-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE",
            "address_2": "STE B1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183100",
            "telephone_number": "907-250-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOON",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "OTR/CHT/COMT/MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9425",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "AK",
            "license": "1921",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AK",
            "license": "1921",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.