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

Charles Derrick Whitaker, DPT

Individual provider Physical Therapist · NPI 1407150006

Charles Derrick Whitaker, DPT is a Physical Therapist in Private Practice in Jackson, Kentucky. Qualified in 2010, 16 years ago. Practices with Empowerme Rehabilitation Kentucky, LLC, a 107-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
16
Licensed in
KY
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

695 Highway 15 N Ste 3
Jackson, KY 41339-7005
Phone: (606) 666-9293
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 005707 (KY)

Record details

NPI number1407150006
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 22, 2010
Last updated in NPPESDecember 22, 2010
Mailing address258 Park Rd, Jackson, KY 41339-9638

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Empowerme Rehabilitation Kentucky, Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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