Active NPI
Lindsey N Callahan, PT
- Physical Therapist
- Peoria, IL
National Provider Identifier
1689074445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021369
- Practice address
- 3714 N Prospect Rd
Peoria, IL 61614-7743 - Phone
- (309) 550-7888
- NPI assigned
- Aug 29, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15082 | NC | |
| Sports Physical Therapist | 2251S0007X | 15082 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 15082 | NC | |
| Physical Therapist | 225100000X | 070021369 | IL | Primary |
Addresses
Primary practice location
3714 N Prospect Rd
Peoria, IL 61614-7743
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6200
Other names 1
- Lindsey N Cannon
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 |
|---|---|---|---|
| 15082 | NC | MD | Mental Health Counselor |
| 070021369 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1689074445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 N PROSPECT RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616147743",
"telephone_number": "309-550-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "LINDSEY",
"middle_name": "N",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-29",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15082",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "15082",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "15082",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "CANNON",
"middle_name": "N",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.