NPI
Banessa Calderon
NPI 1619661444
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- LPTA
- Type
- Individual
- Enumeration date
- 2023-06-05
- Last updated
- 2023-06-05
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Specialties
Licenses
- License AR
- 4830
Location
- Practice location
- 1821 Phoenix Ave Ste A
- City
- Fort Smith AR
- Postal code
- 72901-7939
- Phone
- (501) 772-1461
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physical Therapy Assistants in Fort Smith, AR. 68 with this primary taxonomy in the public file.
Other NPIs in Fort Smith, AR. 3,820 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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