Individual provider Active NPI

Daniel Callahan, PT, DPT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1821572777
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213999 Issued in VA
Practice address
5421 Patterson Ave
Richmond, VA 23226-2003
Phone
(804) 288-0642
Fax
(804) 285-0292
NPI assigned
Sep 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 2305213999 VA Primary

Addresses

Primary practice location

5421 Patterson Ave
Richmond, VA 23226-2003

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050

Other practice location 1

10 Forest Ave Ste 100
Paramus, NJ 07652-5238
Phone (201) 996-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190214000121 NJ Practitioner - Physical Therapist in Private Practice 9133467301 Reassigns benefits to 2 organizations
I20240905000394 VA Practitioner - Physical Therapist in Private Practice 9133467301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

7225 Bell Creek Rd
Suite 256a
Mechanicsville, VA 23111-3503
Phone (804) 486-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 28, 2019 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Oct 28, 2019 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Daniel Samadi, M.D. PC CurrentSince Oct 1, 2018 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

925 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 330-0705

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

130 W Pleasant Ave
Maywood, NJ 07607
Phone (201) 527-6800

10 Forest Ave
Ste 100
Paramus, NJ 07652
Phone (201) 996-1505

456 Prospect Ave
Ste C
West Orange, NJ 07052
Phone (973) 651-5000

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

7225 Bell Creek Rd
Ste 256A
Mechanicsville, VA 23111
Phone (804) 486-6868

5421 Patterson Ave
Richmond, VA 23226
Phone (804) 285-2006

Organizations & group practices 5

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1821572777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262003",
            "telephone_number": "804-288-0642",
            "fax_number": "804-285-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Forest Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076525238",
            "country_code": "US",
            "telephone_number": "201-996-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.