Clint A Caballero, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08421 Issued in LA

Practice address

12110 S Harrells Ferry Rd Ste 200
Baton Rouge, LA 70816-2426

Phone

(225) 372-5008

Fax

(225) 927-4183

NPI assigned

Feb 1, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Physical Therapy LLCGroup PAC ID 0749564185, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Delta Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1790237188

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dutch Physical Therapy, Inc.

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1003917550
  Medicare reassignment

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1952849705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 S HARRELLS FERRY RD STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162426",
            "telephone_number": "225-372-5008",
            "fax_number": "225-927-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 S HARRELLS FERRY RD STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162426",
            "telephone_number": "225-372-5008",
            "fax_number": "225-927-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "CLINT",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-01",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE LICENSE",
            "identifier": "08421",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C Farrell Fruge Jr DDS
• C.T.D. Medical Transport
• C&C Capital Area Transportation LLC
• C&Kay Logistics LLC
• C&W Family Transportation
• Jack Caballero, LAT, ATC
• Javier J Caban
• Peter Daniel Cabiran, M.D.
• Amanda Cable
• Paula A Cacioppo, MD

• Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.