Individual provider Active NPI

Charlene Norquist, MPT

  • Orthopedic Physical Therapist
  • Capitola, CA
National Provider Identifier
1003028515
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 25785 Issued in CA
Practice address
1350 41St Ave Ste 100
Capitola, CA 95010-3934
Phone
(831) 706-2085
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 25785 CA Primary

Addresses

Primary practice location

1350 41St Ave Ste 100
Capitola, CA 95010-3934

Mailing address

1350 41St Ave
Ste 100
Capitola, CA 95010-3934
Phone (831) 706-2085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000426 CA Practitioner - Physical Therapist in Private Practice 1951484088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Orthopedics and SpineGroup PAC ID 8224940739, 186 clinicians

Practice addresses (Care Compare)

221 E Hacienda Ave
Suite a
Campbell, CA 95008-6625
Phone (408) 412-8130

2405 Shadelands Dr
Walnut Creek, CA 94598-2444
Phone (925) 939-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 25785CAMDOrthopedic Physical Therapist
25785CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonorcal, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Aug 19, 2022 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Aug 19, 2022 Accepting new patients
Orthonorcal Inc CurrentSince Jun 1, 2020 Accepting new patients
Optm Sports & Physical Therapy, Inc Orthopedic PastSince Jan 1, 2008 Accepting new patients
Los Gatos Orthopedic Sports Therapy, Inc. Orthopedic PastSince Jul 28, 2008 Accepting new patients
Los Gatos Hand Therapy, LLC PastSince Jun 6, 2021 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

1350 41st Ave
Ste 100
Capitola, CA 95010
Phone (831) 706-2085

4140 Jade St
Ste 100
Capitola, CA 95010
Phone (831) 475-4024

340 Dardanelli Ln
Ste 10
Los Gatos, CA 95032
Phone (408) 412-8100

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: charlene.norquist.p2@direct.muirortho.nextgenshare.com
  • Direct secure messaging: charlene.norquistpt.p1@direct.orthonorcal.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1003028515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 41ST AVE",
            "address_2": "STE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103934",
            "telephone_number": "831-706-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 41ST AVE STE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103934",
            "telephone_number": "831-706-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORQUIST",
        "first_name": "CHARLENE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 25785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.