ERIN ELAINE CALVELAGE (NPI# 1609301811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609301811 |
Entity Type | Individual |
Full Name | ERIN ELAINE CALVELAGE |
Credential | PHD |
Practice Address |
3801 Johnson Mill Blvd Fayetteville AR 72704-5297 |
Mailing Address |
1563 S Razorback Rd Apt 404 Fayetteville AR 72701-6314 |
Practice Telephone | 4798566400 |
Mailing Telephone | 4192042465 |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4269 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 165825742 | 05 |
Street Address |
3801 JOHNSON MILL BLVD |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72704-5297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568757698 | Shannon L Leding | Speech-Language Pathologist | 3801 Johnson Mill Blvd, Suite A and B, Fayetteville, AR 72704-5297 | 2011-06-16 |
1700394509 | Kayla Lashae Donald | Occupational Therapy Assistant | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2018-01-15 |
1265957526 | Angela Suzanne Carter | Occupational Therapist | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2017-08-08 |
1972059731 | Arielle Sarah Kingsbury | Occupational Therapist | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2016-08-31 |
1841660743 | Sarah Rebecca Milholen | Speech-Language Pathologist | 3801 Johnson Mill Blvd, Suite B, Fayetteville, AR 72704-5297 | 2015-10-05 |
1356727671 | Ethan Baker | Occupational Therapy Assistant | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2015-08-10 |
1134541204 | Amanda Carter | Speech-Language Pathologist | 3801 Johnson Mill Blvd, Suite B, Fayetteville, AR 72704-5297 | 2014-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
Find all providers in zip 72704 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780069476 | Edith Areli Molina Amaya | Physical Therapist | 2819 W Hillshire Dr, Fayetteville, AR 72704-5137 | 2015-07-23 |
1306104773 | Cheryl F. Borden | Physical Therapist | 4216 Bartlet Glen Ln, Fayetteville, NC 28306-9357 | 2012-04-24 |
1730470998 | Stefanie Hines Schumacher | Physical Therapist | 48 Colt Square, Fayetteville, AR 72703-2813 | 2011-04-22 |
1578702676 | Marla Cohen | Physical Therapist | 5201 Hoag Ln, Fayetteville, NY 13066-2508 | 2009-02-12 |
1245491224 | The Therapy Spot,llc | Physical Therapist | 3130 Market St., Fayetteville, AR 72703-7519 | 2008-06-22 |
1376717249 | Tammy Lee Heino | Physical Therapist | 6836 Holliston Cir, Fayetteville, NY 13066-1700 | 2008-04-22 |
1730375650 | Christie Summerford | Physical Therapist | 2474 E. Joyce Blvd, Suite 2, Fayetteville, AR 72703 | 2007-09-25 |
1528031275 | Shanna Scott Thurman | Physical Therapist | 5310 Yadkin Rd, Fayetteville, NC 28303-3255 | 2006-02-10 |
1902454507 | Southeastern Motor and Sensory Specialists | Physical Therapist | 3530 Boone Trl, Fayetteville, NC 28306-2189 | 2019-08-28 |
1356774970 | Sara Ruckenbrod | Physical Therapist | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2013-08-19 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72704 |
Please comment or provide details below to improve the information on ERIN ELAINE CALVELAGE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.