Individual provider Active NPI

Zachary L Calhoon, DPT

  • Physical Therapist
  • Lago Vista, TX
National Provider Identifier
1548747587
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1303973 Issued in TX
Practice address
5802 Thunderbird St Apt a
Lago Vista, TX 78645-5888
Phone
(512) 267-5400
Fax
(512) 267-5700
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1303973 TX Primary

Addresses

Primary practice location

5802 Thunderbird St Apt a
Lago Vista, TX 78645-5888

Mailing address

PO Box 4649
Lago Vista, TX 78645-0054
Phone (512) 267-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114002483 WI Practitioner - Physical Therapist in Private Practice 2769732312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29980 Network PL
Chicago, IL 60673-1299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard Young Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Eagle River Hospital, Inc. Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Single Specialty Past Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients
Lago Vista Physical Therapy Single Specialty PastSince Sep 4, 2018 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 8

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1548747587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4649",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786450054",
            "telephone_number": "512-267-5400",
            "fax_number": "512-267-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 THUNDERBIRD ST APT A",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786455888",
            "telephone_number": "512-267-5400",
            "fax_number": "512-267-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOON",
        "first_name": "ZACHARY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1303973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lago Vista, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.