Individual provider Active NPI

Angela Kay Callicott, PT

  • Orthopedic Physical Therapist
  • Blue Springs, MO
National Provider Identifier
1669651923
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
101234 Issued in MO
Practice address
220 NW Rd Mize Rd
Suite B203
Blue Springs, MO 64014-2527
Phone
(913) 220-0223
NPI assigned
Nov 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 101234 MO Primary

Addresses

Primary practice location

220 NW Rd Mize Rd
Suite B203
Blue Springs, MO 64014-2527

Mailing address

10460 Mastin St
Suite 150
Overland Park, KS 66212-5701
Phone (913) 492-7870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101234MOMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy and Sports Rehabilitation, PA Orthopedic PastSince Apr 1, 2002 Accepting new patients

Organizations & group practices 1

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1669651923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10460 MASTIN ST",
            "address_2": "SUITE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125701",
            "telephone_number": "913-492-7870",
            "fax_number": "913-492-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW RD MIZE RD",
            "address_2": "SUITE B203",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142527",
            "telephone_number": "913-220-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLICOTT",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "101234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.