Active NPI
Cynthia Lynn Kalawe, PT
- Physical Therapist
- Tyler, TX
National Provider Identifier
1679029383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1098770
- Practice address
- 100 E Ferguson
Suite 1204
Tyler, TX 75702 - Phone
- (903) 509-2040
- Fax
- (903) 534-5873
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- 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 | 1098770 | TX | Primary |
Addresses
Primary practice location
100 E Ferguson
Suite 1204
Tyler, TX 75702
Mailing address
210 Louise Lane
Athens, TX 75751
Phone (903) 681-0189
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098770 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1679029383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 LOUISE LANE",
"city": "ATHENS",
"state": "TX",
"postal_code": "75751",
"telephone_number": "903-681-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E FERGUSON",
"address_2": "SUITE 1204",
"city": "TYLER",
"state": "TX",
"postal_code": "75702",
"telephone_number": "903-509-2040",
"fax_number": "903-534-5873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALAWE",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1098770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.