Individual provider Active NPI

Sebastian Calvo

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1700313103
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
05616 Issued in TX
Practice address
7707 Fannin St Ste 154
Houston, TX 77054-1918
Phone
(832) 727-5056
Fax
(713) 501-8933
NPI assigned
May 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 05616 TX Primary

Addresses

Primary practice location

7707 Fannin St Ste 154
Houston, TX 77054-1918

Mailing address

7707 Fannin St Ste 154
Houston, TX 77054-1918
Phone (832) 727-5056

Other identifiers 1

IdentifierTypeStateIssuer
82-1375206OtherTXCHIROPRATIC

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

LicenseStateTypeSpecialty
05616TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Wellness Center, LLC Physical Medicine & Rehabilitation PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1700313103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST STE 154",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541918",
            "telephone_number": "832-727-5056",
            "fax_number": "713-501-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST STE 154",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541918",
            "telephone_number": "832-727-5056",
            "fax_number": "713-501-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO",
        "first_name": "SEBASTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "05616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRATIC",
            "identifier": "82-1375206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.