Mark K Castle, PT

Individual provider Active NPI Physical Therapist · Campton, KY

NPI 1720041478 · NPPES record last updated May 6, 2020

Key facts

NPI
1720041478
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
004711 (KY)
Practice address
49 Ky 15 N
Campton, KY 41301-8834
Phone
(606) 668-9481
Fax
(606) 668-7730
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Assistance Physical Therapist Past
since Jan 1, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004711 KY Yes

Addresses

Primary practice location

49 Ky 15 N
Campton, KY 41301-8834

Mailing address

PO Box 191
Lowmansville, KY 41232-0191
Phone (606) 668-9481

Other identifiers

IdentifierTypeStateIssuer
3844OtherKYMEDICARE GROUP

Other providers in Campton, KY

All providers in Campton, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.