Active NPI
Charlene Norquist, MPT
- Orthopedic Physical Therapist
- Capitola, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 25785
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 25785 | CA | MD | Orthopedic Physical Therapist |
| 25785 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthonorcal, Inc. | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Orthonorcal Inc | Current | Accepting new patients | |
| Optm Sports & Physical Therapy, Inc | Orthopedic | Past | Accepting new patients |
| Los Gatos Orthopedic Sports Therapy, Inc. | Orthopedic | Past | Accepting new patients |
| Los Gatos Hand Therapy, LLC | Past | 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
- charlene.norquist.p2@direct.muirortho.nextgenshare.com
- 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.
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1972552990
-
- Orthopaedic Surgery Physician
- Los Gatos, CA
- NPI 1124398235
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1245021401
-
- Orthopaedic Surgery Physician
- Capitola, CA
- NPI 1518412659
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
-
- Occupational Therapist
- Los Gatos, CA
- NPI 1992371967
-
- Orthopedic Physical Therapist
- Los Gatos, CA
- NPI 1366510414
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.