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

Caleb Doup, PTA

Individual provider Physical Therapist · NPI 1285090704

Caleb Doup, PTA is a Physical Therapist in Private Practice in Mount Vernon, Ohio. Qualified in 2018, 8 years ago. Practices with Sportpro LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

781 Fairgrounds Rd Ste A
Mount Vernon, OH 43050-1165
Phone: (740) 263-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 017832 (OH)

Record details

NPI number1285090704
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 13, 2016
Last updated in NPPESJanuary 2, 2019
Mailing address781 Fairgrounds Rd Ste A, Mount Vernon, OH 43050-1165

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sportpro Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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