Active NPI
Caleb S Nobles, PT, DPT
- Physical Therapist
- Goose Creek, SC
National Provider Identifier
1104471929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9829
- Practice address
- 110 Nnptc Cir
Goose Creek, SC 29445-6314 - Phone
- (843) 818-2944
- Fax
- (843) 579-2738
- NPI assigned
- Aug 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9829 | SC | Primary |
Addresses
Primary practice location
110 Nnptc Cir
Goose Creek, SC 29445-6314
Mailing address
109 Bee St
Charleston, SC 29401-5703
Phone (843) 818-6993
Other practice location 1
109 Bee St
Charleston, SC 29401-5703
Phone (843) 577-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9829 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1104471929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BEE ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294015703",
"telephone_number": "843-818-6993",
"fax_number": "843-579-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NNPTC CIR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294456314",
"telephone_number": "843-818-2944",
"fax_number": "843-579-2738"
}
],
"practiceLocations": [
{
"address_1": "109 Bee St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294015703",
"country_code": "US",
"telephone_number": "843-577-5011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOBLES",
"first_name": "CALEB",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.