MR. CHARLES E. MCCULLOUGH CPT NPI 1265484216

NPI Information

NPI: 1265484216
Provider Name: MR. CHARLES E. MCCULLOUGH, CPT
Classification: Physical Therapist - 2251H1200X
Entity Type: Individual

Specialization: Hand

Address:
400 22ND AVE.
BROOKINGS, SD
ZIP 57006
Phone: (605) 697-9500
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MR. Charles E. Mccullough, CPT is a hand physical therapist in Brookings, SD with 32 years of experience. MR. Charles E. Mccullough, CPT NPI is 1265484216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 22ND AVE.
BROOKINGS, SD
ZIP 57006-497
Phone: (605) 697-9500
Fax: (605) 697-6939

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225100000X	Physical Therapist		0560	SOUTH DAKOTA	No
2	2251H1200X	Physical Therapist	Hand	0560	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5831322	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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