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

Charles Christopher Ballard, PTA4382

Individual provider Physical Therapy Assistant · NPI 1942466172

Charles Christopher Ballard, PTA4382 is a Physical Therapy Assistant in Greenwood, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008

Practice location Address checks out

702 Highway 82 W Ste B
Greenwood, MS 38930-5069
Phone: (662) 455-5010
Fax: (662) 455-5468
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA4382 (MS)

Record details

NPI number1942466172
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA4382
Sole proprietorNo
NPI enumeratedAugust 7, 2008
Last updated in NPPESAugust 7, 2008

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