Kimberly Ann Callahan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3946 Issued in AR

Practice address

6679 Parkwood LN
Harrison, AR 72601-6868

Phone

(662) 322-6057

NPI assigned

Oct 21, 2007

Last updated

Sep 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1982893400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6679 PARKWOOD LN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016868",
            "telephone_number": "662-322-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6679 PARKWOOD LN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016868",
            "telephone_number": "662-322-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-21",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA3946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rana Diane Burnside, A.P.N.
• Thomas R Butler, DC
• Virginia Leah Butler, MS LICENSED PROFESSI
• Byron & Daughters Dba, Craig B Olson, MD (Craig B Olson, MD)
• Nicole Cain, CD
• Casey Dawn Campbell, PTA
• Sjana Campbell, MHPP
• Charles Richard Cantrell Jr., LMT
• Capps Wellness Clinic and Associates, Inc.
• Rhianna Marie Cardiel, RN

• Physical Therapy Assistant in Harrison, AR
• Providers in Harrison, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.