Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Core Physical Therapy Keller

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1164172912

Core Physical Therapy Keller is a Sports Medicine (Orthopaedic Surgery) Physician in Keller, Texas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4

Practice location Address checks out

601 S Main St Ste 105
Keller, TX 76248-7027
Phone: (501) 580-8352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X
Radiology Clinic/Center Taxonomy 261QR0200X

Record details

NPI number1164172912
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCastle Surgical Management LLC
Authorized official Nicole Tate — Credentialing · (817) 200-6492
NPI enumeratedMarch 25, 2022
Last updated in NPPESMarch 25, 2022
Certification dateMarch 24, 2022
Mailing address901 W Bardin Rd Ste 100, Arlington, TX 76017-6000