Callaba Therapeutic Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT04405 Issued in LA

Legal business name

CALLABA THERAPEUTIC SERVICES, LLC

Practice address

134 Arlington Dr
Lake Charles, LA 70605-5702

Phone

(337) 540-7226

Fax

(337) 475-0150

NPI assigned

Apr 8, 2014

Organization subpart

No

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

Authorized official

Name

Laurie CallabaNPI 1427036300

Title

Owner

Phone

(337) 540-7226

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie Ann Callaba, PT

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427036300
  NPD (past) Authorized official

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1902225824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 TERRY LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052650",
            "telephone_number": "337-540-7226",
            "fax_number": "337-475-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ARLINGTON DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055702",
            "telephone_number": "337-540-7226",
            "fax_number": "337-475-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLABA THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "CALLABA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-540-7226"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "PT04405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068683",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calcasieu Urgent Care LLC
• Calcasieu Urgent Care LLC
• Calcasieu Urgent Care LLC
• Richard Thomas Caldwell, M.D.
• Susan Aguzin Caldwell, M,S., CCC-SLP
• Laurie Ann Callaba, PT
• Kelly Calloway, APRN
• Cameron Council on Aging
• Angelica Cameron
• Santana Cammon

• Physical Therapy Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.