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

Mr. Charles E. McCullough, CPT

Individual provider Physical Therapist · NPI 1265484216

Mr. Charles E. McCullough, CPT is a Physical Therapist in Private Practice in Brookings, South Dakota. Qualified in 1992, 34 years ago. Practices with City of Brookings, a 113-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
34
Licensed in
SD
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

400 22nd Ave
Brookings, SD 57006-2497
Phone: (605) 697-9500
Fax: (605) 697-6939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hand Physical Therapist (primary) Taxonomy 2251H1200X · Licence 0560 (SD)
Physical Therapist Taxonomy 225100000X · Licence 0560 (SD)

Record details

NPI number1265484216
Entity typeIndividual (Type 1)
GenderMale
Credentials CPT
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020
Mailing address400 22nd Ave., Brookings, SD 57006-2497

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice City Of Brookings — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brookings