MEDICARE: NESTLERODE ORTHOPEDIC REHABILITATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1508094657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NESTLERODE ORTHOPEDIC REHABILITATION, LLC

Provider Business Mailing Address
First Line	:	405 E MAIN ST
Second Line	:	SUITE 2
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-4427
Country	:	US
Telephone Number	:	252-966-0077
Fax Number	:	877-566-1181

Provider Business Practice Location Address
First Line	:	405 E MAIN ST STE 2
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-4866
Country	:	US
Telephone Number	:	252-966-0077
Fax Number	:	877-566-1181

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/ OWNER
Name	:	DR. TRAVIS PATRICK NESTLERODE
Credential	:	DPT
Telephone Number	:	704-692-0317

Provider Enumeration Date	:	06/28/2009
Last Update Date	:	01/30/2024

Similar Medicare Providers

1447302005 — DR. PERRI SOFIAN PUTRASAHAN DDS
Practice Location Address:

68905 VISTA CHINO
CATHEDRAL CITY, CA
92234-4866

Practice Phone: 760-325-2503
Practice Fax: 760-322-6425

1811022593 — ALLIED PHYSICIAN'S GROUP INC PC
Practice Location Address:

1200 S AIR DEPOT BLVD , STE P
MIDWEST CITY, OK
73110-4866

Practice Phone: 405-495-5154
Practice Fax:

1851419188 — MRS. ALZIRENE CAMPOS FAUBION M.A.
Practice Location Address:

105 GOVERNORS SQ , SUITE 602
PEACHTREE CITY, GA
30269-4866

Practice Phone: 678-925-3306
Practice Fax: 678-985-4855

1831386168 — P PUTRASAHAN DDS INC
Practice Location Address:

68905 VISTA CHINO
CATHEDRAL CITY, CA
92234-4866

Practice Phone: 760-325-2503
Practice Fax:

1407085269 — SHALINI SANKU
Practice Location Address:

1200 S AIR DEPOT BLVD
MIDWEST CITY, OK
73110-4866

Practice Phone: 405-494-8092
Practice Fax:

1639494149 — KOOL SMILES OK, PC
Practice Location Address:

1200 S AIR DEPOT BLVD
MIDWEST CITY, OK
73110-4866

Practice Phone: 800-920-9947
Practice Fax:

Directions to “NESTLERODE ORTHOPEDIC REHABILITATION, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.