David T Callaghan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

L1389178 Issued in MI

Practice address

960 Razorback Dr
Suite 3
Houghton, MI 49931-2830

Phone

(906) 482-8201

Fax

(906) 482-2771

NPI assigned

Nov 25, 2009

Last updated

Nov 25, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus KeweenawGroup PAC ID 8123912011, 116 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspirus Keweenaw

  dba Aspirus Laurium Clinic

  • Rural Health Clinic/Center
  • Laurium, MI
  • NPI 1205998713
  Medicare reassignment Care Compare group NPD
• Aspirus Ontonagon Hospital, Inc.

  • Clinic/Center
  • Ontonagon, MI
  • NPI 1891889895
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1851629117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6591",
            "fax_number": "906-337-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RAZORBACK DR",
            "address_2": "SUITE 3",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312830",
            "telephone_number": "906-482-8201",
            "fax_number": "906-482-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "L1389178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Brewer
• Brian Dennis Brewster, MAT, ATC, CSCS
• Derek Bustos, P.T.
• Stephanie Bustos, DPT
• Hannah Marie Butkovich
• Holland Camara
• Andrea Brooke Campain, D.C.
• Mark Campbell-Olszewski, MA LLP
• Cathy Lynn Campbell
• Karyn Carr, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.