Amy Lynn McCallumore, DPT, OMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011655 Issued in MI

Practice address

15979 Hall Rd Ste 150
Macomb, MI 48044-5362

Phone

(586) 416-8439

Fax

(586) 416-8440

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1851467542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 CUT CRYSTAL LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483162804",
            "telephone_number": "586-219-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15979 HALL RD STE 150",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445362",
            "telephone_number": "586-416-8439",
            "fax_number": "586-416-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUMORE",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DPT, OMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heam Mati
• Kelly Lynn Matijega, CNM
• Matrx Health & Fitness, LLC
• Rami Matte
• Margaret Matthews
• McCi-Macomb Cancer Center
• Beverly McGhee
• Kristin McGrail, FNP-C
• Christopher Sean McNeil, D.C.
• Medical Service Company

• Physical Therapist in Macomb, MI
• Providers in Macomb, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.