Active NPI
Dean Sheldon McCall, PTL
- Physical Therapist
- Montrose, CO
National Provider Identifier
1669938940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0003840
- Practice address
- 300 S Nevada Ave
Montrose, CO 81401-4273 - Phone
- (970) 249-7751
- Fax
- (970) 249-5029
- NPI assigned
- Feb 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0003840 | CO | Primary |
Addresses
Primary practice location
300 S Nevada Ave
Montrose, CO 81401-4273
Mailing address
300 S Nevada Ave
Montrose, CO 81401-4273
Phone (970) 249-7751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTL0003840 | Other | CO | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0003840 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1669938940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S NEVADA AVE",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014273",
"telephone_number": "970-249-7751",
"fax_number": "970-249-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S NEVADA AVE",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014273",
"telephone_number": "970-249-7751",
"fax_number": "970-249-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "DEAN",
"middle_name": "SHELDON",
"credential": "PTL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0003840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PTL0003840",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.