Kaitlyn Calhoun

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA48271 Issued in CA

Practice address

31461 Rancho Viejo Rd Ste 101
San Juan Capistrano, CA 92675-1893

Phone

(949) 542-5000

NPI assigned

Mar 22, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fullmotion Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Juan Capistrano, CA
  • NPI 1831357367
  NPD (past)
• Gleason Physical Therapy Inc.

  dba FreeMotion Physical Therapy

  • Physical Therapy Clinic/Center
  • San Juan Capistrano, CA
  • NPI 1366771602
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1629509658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31461 RANCHO VIEJO RD STE 101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751893",
            "telephone_number": "949-542-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31461 RANCHO VIEJO RD STE 101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751893",
            "telephone_number": "949-542-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA48271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelin Anthony Brown, AGACNP
• Michelle G Bryant, MASSAGE THERAPIST
• Alina Burkholder
• Dana Caballero, LCSW
• Juan Raphael Caldera, PHD, D(ABMM)
• California Care Detox & Treatment (California Care Mental Health)
• California Physical Therapy Providers, Inc.
• California Rehabilitation & Sports Therapy a California Physical Ther (Cal Rehab - San Juan Capistrano)
• California Shores Inc. (Adagio San Juan)
• Calvin Harrah, PH.D.& Marlene Laping, PH.D. a Professional Organizatio

• Physical Therapy Assistant in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.