THOMAS CALLONEA DPT
NPI 1093593188
Physical Medicine & Rehabilitation - Sports Medicine in Rancho Cordova, CA

Active since September 19, 2023Accepts Medicare Assignment
11327 FOLSOM BLVD STE 180, RANCHO CORDOVA, CA 95742(530) 499-3977 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Callonea Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS CALLONEA DPT (NPI 1093593188) is an individual sports medicine provider in Rancho Cordova, California, licensed in California (304912) and active in the NPI registry since September 2023. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1093593188
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameTHOMAS CALLONEACredential: DPT
Location Address11327 FOLSOM BLVD STE 180Rancho Cordova, CA 95742-6208
Mailing Address414 Malaga CtCameron Park, CA 95682-7001 · (530) 499-3977
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1093593188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in CA · 304912
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
11327 FOLSOM BLVD STE 180, Rancho Cordova, CA 95742

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Callonea Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648768051
PECOS Enrollment IDI20251017003980

Medicare Billing Reassignment

Medicare enrollment records show Thomas Callonea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
16185 LOS GATOS BLVD STE 205
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 1,388 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Callonea's NPI number?

The NPI number for Thomas Callonea is 1093593188. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Thomas Callonea located?

Thomas Callonea practices at 11327 Folsom Blvd Ste 180, Rancho Cordova, CA 95742. The listed phone number is (530) 499-3977.

What is Thomas Callonea's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Thomas Callonea enrolled in Medicare?

Yes. Thomas Callonea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thomas Callonea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Callonea reassigns Medicare benefits to California Luna Care Physical Therapy PC (Los Gatos, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Callonea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Callonea was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.