Travis Castleberry, P.T.
Individual provider Active NPI Physical Therapist · Nettleton, MS
NPI 1962816447 · NPPES record last updated Apr 12, 2017
Key facts
- NPI
- 1962816447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6113 (MS)
- Practice address
- 230A Main Street
Nettleton, MS 38855 - Phone
- (662) 591-7077
- Fax
- (662) 591-7078
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9998 | TN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9998 | TN | |
| Physical Therapist | 225100000X | PT6113 | MS | Yes |
Addresses
Primary practice location
230A Main Street
Nettleton, MS 38855
Mailing address
110 N Main St
Collierville, TN 38017-2618
Phone (901) 221-2619
Other providers in Nettleton, MS
- Access Family Health Services, Inc.
- Annie J Heyman
- Boa Vida Hospital of Aberdeen, Ms LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Breakthrough Physical Therapy
- Shelithea Darden
- Katherine Elizabeth Davis
- Evergreen Clini
- Evergreen Family Medical Clinic Inc
- Family Care of Evergreen, LLC
All providers in Nettleton, 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 Apr 12, 2017. 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.