IndividualActive
Charles Ballard, PTA4382
NPI 1942466172 · Physical Therapy Assistant · Greenwood, MS
Provider details
- NPI number
- 1942466172
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA4382
- Sex
- Male
- Sole proprietor
- No
- License
- PTA4382 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
702 Highway 82 W Ste B
Greenwood, MS 38930-5069
Phone: (662) 455-5010
Fax: (662) 455-5468
Approximate (ZIP-level) locationGet directions
Mailing address
702 Highway 82 W Ste B
Greenwood, MS 38930-5069
Registry dates
- Enumerated
- 2008-08-07
- Last updated
- 2008-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.