Craig S Bertelsen, PT, CERT MDT
Individual provider Active NPI Physical Therapist · Baldwyn, MS
NPI 1134319486 · NPPES record last updated Mar 8, 2013
Key facts
- NPI
- 1134319486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT2339 (MS)
- Practice address
- 715 Highway 45
Baldwyn, MS 38824-8591 - Phone
- (662) 365-5610
- Fax
- (662) 365-5611
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Physical Therapy, Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2339 | MS | Yes |
Addresses
Primary practice location
715 Highway 45
Baldwyn, MS 38824-8591
Mailing address
PO Box 366
715 Hwy 45
Baldwyn, MS 38824-0366
Phone (662) 365-5610
Other providers in Baldwyn, MS
- Kevin William Abel
- Larry Richard Arnold
- Baldwyn L&L Pharmacy LLC
- Michael Harris Barron
- Carey Bradford Brashier
- Alicia Brown
- Richard Comer
- Louise Cristo
- Dpti Elite Physical Therapy LLC
All providers in Baldwyn, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.