Healthcare Provider Details

I. General information

NPI: 1093267395
Provider Name (Legal Business Name): CASEY NOELLE CAMARGO PT, DPT, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2585 HENDERSONVILLE RD
ARDEN NC
28704-9577
US

IV. Provider business mailing address

PO BOX 5105
BELFAST ME
04915-5100
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-8800
  • Fax: 828-651-0026
Mailing address:
  • Phone: 828-258-8800
  • Fax: 828-651-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24055
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberLAT-4806
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: