Active NPI
Charles Kirchem IV, P.T.
- Physical Therapist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9930 Lake Forest Blvd.
Suite a
New Orleans, LA 70127-5486 - Phone
- (504) 245-2483
- Fax
- (985) 331-1005
- NPI assigned
- Sep 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 07655 | LA | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
9930 Lake Forest Blvd.
Suite a
New Orleans, LA 70127-5486
Mailing address
4324 S. Sherwood Forest Blvd.
Suite B170
Baton Rouge, LA 70816
Phone (225) 654-8208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2113712 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14041 Hwy 90
Boutte, LA 70039-3511
Phone (985) 764-3001
3939 Houma Blvd
Suite 21
Metairie, LA 70006-2921
Phone (504) 885-6464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMG, LLC | Current | Accepting new patients | |
| City Park Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Pontchartrain Bone & Joint Clinic, LTD. | Current | Accepting new patients | |
| Pontchartrain Bone & Joint Clinic, LTD. | Current | Accepting new patients | |
| LMG LLC | Physical Therapist | Current | Accepting new patients |
Locations
14041 Highway 90
Boutte, LA 70039
Phone (504) 503-6445
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
3939 Houma Blvd
Ste 21
Metairie, LA 70006
Phone (504) 885-6464
5559 Canal Blvd
New Orleans, LA 70124
Phone (504) 235-6759
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_PBJC
Organizations & group practices 5
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
- Metairie, LA
- NPI 1649351529
-
- Physical Therapist
- New Orleans, LA
- NPI 1003178393
-
- Orthopaedic Surgery Physician
- Covington, LA
- NPI 1356807663
-
- Durable Medical Equipment & Medical Supplies
- Boutte, LA
- NPI 1073387338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1023341864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 S. SHERWOOD FOREST BLVD.",
"address_2": "SUITE B170",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70816",
"telephone_number": "225-654-8208",
"fax_number": "985-331-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 LAKE FOREST BLVD.",
"address_2": "SUITE A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701275486",
"telephone_number": "504-245-2483",
"fax_number": "985-331-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHEM",
"first_name": "CHARLES",
"name_suffix": "IV",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-11",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "07655",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2113712",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.