CHARLES DERRICK WHITAKER DPT
NPI 1407150006
Physical Therapist in Jackson, KY

Active since December 22, 2010Accepts Medicare Assignment
695 HIGHWAY 15 N STE 3, JACKSON, KY 41339(606) 666-9293 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles Derrick Whitaker Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES DERRICK WHITAKER DPT (NPI 1407150006) is an individual physical therapist in Jackson, Kentucky, licensed in Kentucky (005707) and active in the NPI registry since December 2010. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1407150006
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCHARLES DERRICK WHITAKERCredential: DPT
Location Address695 HIGHWAY 15 N STE 3Jackson, KY 41339-7005
Mailing Address258 Park RdJackson, KY 41339-9638 · (606) 568-5724
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 22, 2010
✔ NPI 1407150006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in KY · 005707
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
695 HIGHWAY 15 N STE 3, Jackson, KY 41339

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Derrick Whitaker Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678754884
PECOS Enrollment IDI20110222000226

Medicare Billing Reassignment

Medicare enrollment records show Charles Whitaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1165 MONARCH ST
Lexington, KY 40513
  • Reassigned Medicare billing, Kentucky enrollment
  • 107 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
695 HIGHWAY 15 N STE 3
JACKSON, KY 41339
Physical Therapist
695 HIGHWAY 15 N STE 3
JACKSON, KY 41339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Whitaker's NPI number?

The NPI number for Charles Whitaker is 1407150006. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Charles Whitaker located?

Charles Whitaker practices at 695 Highway 15 N Ste 3, Jackson, KY 41339. The listed phone number is (606) 666-9293.

What is Charles Whitaker's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Charles Whitaker enrolled in Medicare?

Yes. Charles Whitaker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charles Whitaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Whitaker reassigns Medicare benefits to Empowerme Rehabilitation Kentucky, LLC (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Whitaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Whitaker was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.