Caroline Calabria, DPT
Individual provider Active NPI Physical Therapist · Havre, MT
NPI 1831633304 · NPPES record last updated Dec 18, 2016
Key facts
- NPI
- 1831633304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2437 (MT)
- Practice address
- 1136 13TH St W
Havre, MT 59501-4730 - Phone
- (406) 357-2549
- NPI assigned
- Dec 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- On Trak Physical Therapy PLLC
Practice addresses (Care Compare)
2775 S 8TH Ave
Yuma, AZ 85364-7110
Phone (928) 304-6651
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211105001394 | AZ | Practitioner - Physical Therapist in Private Practice | 3476829870 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2437 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Medical Clinics, LLC | Current |
Accepting new patients | |
| On Trak Physical Therapy PLLC | Physical Therapist | Current |
Accepting new patients |
| Elite Physical Therapy and Pilates Rehabilitation PC | Physical Therapist | Past |
Accepting new patients |
Locations
2775 S 8th Ave
Yuma, AZ 85364
Phone (928) 341-0700
11463 S Foothills Blvd
Ste C
Yuma, AZ 85367
Phone (602) 885-7228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2437 | MT | Yes |
Addresses
Primary practice location
1136 13TH St W
Havre, MT 59501-4730
Mailing address
1136 13TH St W
Havre, MT 59501-4730
Phone (813) 417-2456
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.