Individual provider Active NPI

Calvin Macclarey Hanrahan

  • Physical Therapist
  • Williamsburg, VA
National Provider Identifier
1629378666
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213248 Issued in VA
Practice address
5388 Discovery Park Blvd Ste 100
Williamsburg, VA 23188-8218
Phone
(757) 903-4230
Fax
(757) 903-4231
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8223 NC
Physical Therapist 225100000X 2305213248 VA Primary

Addresses

Primary practice location

5388 Discovery Park Blvd Ste 100
Williamsburg, VA 23188-8218

Mailing address

5388 Discovery Park Blvd Ste 200
Williamsburg, VA 23188-8218
Phone (757) 707-3955

Other practice location 1

201 Bulifants Blvd Ste B
Williamsburg, VA 23188-5731
Phone (757) 229-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110112000585 NC Practitioner - Physical Therapist in Private Practice 7810186459 Practice locations: Ocracoke, NC
I20210629001372 VA Practitioner - Physical Therapist in Private Practice 7810186459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8223NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Chiropractic, LLC CurrentSince May 17, 2021 Accepting new patients
Comber Physical Therapy, LLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients

Locations

5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188

5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955

201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740

5388 Discovery Park Blvd
#2
Williamsburg, VA 23188

Organizations & group practices 2

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1629378666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 DISCOVERY PARK BLVD STE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888218",
            "telephone_number": "757-707-3955",
            "fax_number": "757-603-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5388 DISCOVERY PARK BLVD STE 100",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888218",
            "telephone_number": "757-903-4230",
            "fax_number": "757-903-4231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885731",
            "country_code": "US",
            "telephone_number": "757-229-9740",
            "fax_number": "757-229-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANRAHAN",
        "first_name": "CALVIN",
        "middle_name": "MACCLAREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8223",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.