Active NPI
Thea Barbara McCallion, LAC, MSTOM
- Acupuncturist
- New York, NY
National Provider Identifier
1942549233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002293-1
- Practice address
- 80 Broad Street
Suite 1401
New York, NY 10004 - Phone
- (212) 943-4999
- Fax
- (212) 943-1999
- NPI assigned
- Feb 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002293-1 | NY | Primary |
Addresses
Primary practice location
80 Broad Street
Suite 1401
New York, NY 10004
Mailing address
80 Broad Street
Suite 1401
New York, NY 10004
Phone (212) 943-4999
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002293-1 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Pain Management Services PC | Past | Accepting new patients | |
| Agk Physical Therapy and Acupuncture PLLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- New York, NY
- NPI 1184094294
Acupuncturist
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1982659751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1942549233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 BROAD STREET",
"address_2": "SUITE 1401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10004",
"telephone_number": "212-943-4999",
"fax_number": "212-943-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BROAD STREET",
"address_2": "SUITE 1401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10004",
"telephone_number": "212-943-4999",
"fax_number": "212-943-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLION",
"first_name": "THEA",
"middle_name": "BARBARA",
"name_prefix": "Mrs.",
"credential": "LAC, MSTOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002293-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.