Active NPI
Nancy McCallick, OT
- Occupational Therapist
- Amarillo, TX
National Provider Identifier
1891446852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102109
- Practice address
- 4557 S Western St Ste B4
Amarillo, TX 79109-8044 - Phone
- (833) 233-7875
- NPI assigned
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102109 | TX | Primary |
Addresses
Primary practice location
4557 S Western St Ste B4
Amarillo, TX 79109-8044
Mailing address
1000 Sagemont Dr
Wimberley, TX 78676-6032
Other names 1
- Nancy Theis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nancy@wc-clinic.com | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102109 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Occupational Therapist | Current | Accepting new patients |
Locations
4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
Organizations & group practices 1
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": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1891446852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SAGEMONT DR",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786766032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4557 S WESTERN ST STE B4",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791098044",
"telephone_number": "833-233-7875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLICK",
"first_name": "NANCY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "102109",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nancy@wc-clinic.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4557 S Western St Ste B4",
"city": "Amarillo",
"state": "TX",
"country_code": "US",
"postal_code": "791098044",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NANCY",
"last_name": "THEIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.