CALVIN JAMES CANINE (PT) – Physical Therapist, NPI 1003060104

CALVIN JAMES CANINE (PT) is a healthcare provider. based in Mexico, Missouri. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 00573 (MO). The NPI Number for CALVIN JAMES CANINE (PT) is 1003060104

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
CALVIN JAMES CANINE (PT)
NPI
1003060104
Phone
(573) 581-1880
Address
2759 S CLARK ST
Enumeration Date
17 November 2008
Last Update Date
22 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736822230
Graduation Year
1974 (52 years ago)
PAC ID
0547431694
Group Practice PAC ID
6901870187
Professional Enrollment ID
I20110921000086
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for CALVIN JAMES CANINE (PT)

  • 2759, South Clark Street, Mexico, Audrain County, Missouri, 65265, United States

    SUITE A

    MEXICO, MO 652653720

    Phone: (573) 581-1880

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65265)

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Provider's Procedures

CALVIN JAMES CANINE (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2733112
PHYSICAL THERAPYMO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes12621

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901870187View full group profile
NameSpecialtyState
-MO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
-MO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
-MO
-MO
Physical Therapist In Private PracticeMO

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Frequently asked questions

What unique ID ties claims to CALVIN JAMES CANINE (PT)?
NPI 1003060104 is assigned to CALVIN JAMES CANINE (PT) under the national enumeration system.
Does this profile mean CALVIN JAMES CANINE (PT) is currently active?
Yes — CALVIN JAMES CANINE (PT) appears active in the national provider directory.
Can you summarize CALVIN JAMES CANINE (PT)'s specialty in plain language?
Clinically, the directory lists CALVIN JAMES CANINE (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for CALVIN JAMES CANINE (PT)?
We surface Mexico, Missouri for CALVIN JAMES CANINE (PT) based on available NPPES addresses.
Is CALVIN JAMES CANINE (PT) a real provider?
This page reflects official NPPES data for NPI 1003060104. Always confirm identity and privileges with the practice and licensing boards.

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