Kahirup Calimlin Habana, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1178810 Issued in TX

Practice address

5957 9TH Ave
Port Arthur, TX 77642-6204

Phone

(409) 982-8878

NPI assigned

Jan 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southeast Texas Hematology and Oncology Center, PA

  • Specialist
  • Port Arthur, TX
  • NPI 1598749491
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1689138208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426204",
            "telephone_number": "409-982-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426204",
            "telephone_number": "409-982-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777022104",
            "country_code": "US",
            "telephone_number": "409-861-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABANA",
        "first_name": "KAHIRUP",
        "middle_name": "CALIMLIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1178810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY TEXAS LICENSE",
            "identifier": "1178810",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Open MRI Unit LTD
• Gulfside Dental Port Arthur PLLC
• Aida Janet Gutierrez, CPHT
• Maria E Gutierrez, M.ED., LPC
• H-E-B, LP
• Desalegn Hailu
• Chris Hale, CST, SA-C
• Doris Renee Hale, M.S., CCC-SLP
• Colin Leonard Hales, MD
• Laquinta Haley

• Physical Therapist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.