Active NPI
Arvin Calamba
- Physical Therapist
- Tyler, TX
National Provider Identifier
1750828455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1172193
- Practice address
- 921 Shiloh Rd Ste C120
Tyler, TX 75703-1407 - Phone
- (903) 939-2800
- NPI assigned
- Jan 20, 2017
- Sex
- Male
- 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 | 1172193 | TX | Primary |
Addresses
Primary practice location
921 Shiloh Rd Ste C120
Tyler, TX 75703-1407
Mailing address
305 NE Loop 820 Ste 200
Hurst, TX 76053-7211
Phone (817) 292-8787
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 |
|---|---|---|---|
| 1172193 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1750828455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE LOOP 820 STE 200",
"city": "HURST",
"state": "TX",
"postal_code": "760537211",
"telephone_number": "817-292-8787",
"fax_number": "817-789-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 SHILOH RD STE C120",
"city": "TYLER",
"state": "TX",
"postal_code": "757031407",
"telephone_number": "903-939-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALAMBA",
"first_name": "ARVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1172193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.