Cary J Calkins, PTA
Individual provider Active NPI Physical Therapy Assistant · Ashland, MO
NPI 1740202829 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740202829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2000155881 (MO)
- Practice address
- 115 East Broadway
Ashland, MO 65010 - Phone
- (573) 657-1915
- Fax
- (573) 657-1875
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000155881 | MO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BDM Associates LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2000155881 | MO | Yes |
Addresses
Primary practice location
115 East Broadway
Ashland, MO 65010
Mailing address
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
Other providers in Ashland, MO
- Paige Danielle Beauparlant
- Shonna Bexten
- Susan Blackburn
- Taylor Ann Bowman
- Katherine E. Branham
- April Joy Church
- Nikki Clatt
- Holleen Coleman
- Alex Crane
- Curators of the University of Missouri
All providers in Ashland, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.