Travis Patrick Nestlerode, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9885 Issued in NC

Practice address

405 E Main St
Suite 2
Elizabeth City, NC 27909-4427

Phone

(704) 692-0317

Fax

(252) 966-0077

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nestlerode Orthopedic Rehabilitation, LLC

  • Orthopedic Physical Therapist
  • Elizabeth City, NC
  • NPI 1508094657
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1154408276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094427",
            "telephone_number": "704-692-0317",
            "fax_number": "252-966-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094427",
            "telephone_number": "704-692-0317",
            "fax_number": "252-966-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTLERODE",
        "first_name": "TRAVIS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nehemiah Christian Counseling, P.L.L.C.
• Casey Guy Nekl, M.D.
• Anne Herndon Nelson, RDH
• Sharon Elizabeth Nelson, PA-C
• Nestlerode Orthopedic Rehabilitation, LLC
• New Image
• David Chester Newbrough, PA-C
• Tarhata Newby, PHARMD
• Newport Pathology Inc
• Courtney Austin Nixon, NP

• Physical Therapist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.