Active NPI
Anna Calderon, MS.PT
- Physical Therapist
- Far Rockaway, NY
National Provider Identifier
1679728869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11649
- Practice address
- 1120 Waterview St
Far Rockaway, NY 11691-1755 - Phone
- (516) 316-2719
- Fax
- (718) 883-1562
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 11649 | NY | Primary |
Addresses
Primary practice location
1120 Waterview St
Far Rockaway, NY 11691-1755
Mailing address
1120 Waterview St
Far Rockaway, NY 11691-1755
Phone (516) 316-2719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011649 | Other | NY | PT LISENCE |
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 |
|---|---|---|---|
| 11649 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1679728869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 WATERVIEW ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911755",
"telephone_number": "516-316-2719",
"fax_number": "718-883-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 WATERVIEW ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911755",
"telephone_number": "516-316-2719",
"fax_number": "718-883-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "ANNA",
"credential": "MS.PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "11649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LISENCE",
"identifier": "011649",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.