NPIMap

Organization Active NPI

Nestlerode Orthopedic Rehabilitation, LLC

  • Orthopedic Physical Therapist
  • Elizabeth City, NC
National Provider Identifier
1508094657
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
NESTLERODE ORTHOPEDIC REHABILITATION, LLC
Practice address
405 E Main St Ste 2
Elizabeth City, NC 27909-4866
Phone
(252) 966-0077
Fax
(877) 566-1181
NPI assigned
Jun 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Dr. Travis Patrick Nestlerode, DPTNPI 1154408276
Title
Physical Therapist/ Owner
Phone
(704) 692-0317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

405 E Main St Ste 2
Elizabeth City, NC 27909-4866

Mailing address

405 E Main St
Suite 2
Elizabeth City, NC 27909-4427
Phone (252) 966-0077

National Provider Directory

National Provider Directory

Locations

405 E Main St
Ste 2
Elizabeth Cty, NC 27909
Phone (252) 966-0077

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1508094657",
    "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": "252-966-0077",
            "fax_number": "877-566-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E MAIN ST STE 2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094866",
            "telephone_number": "252-966-0077",
            "fax_number": "877-566-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESTLERODE ORTHOPEDIC REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-28",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "NESTLERODE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "704-692-0317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.