Individual provider Active NPI

Charles Kirchem IV, P.T.

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1023341864
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2113712MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000270 LA Practitioner - Physical Therapist in Private Practice 2264574961 Reassigns benefits to 3 organizations

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
Pontchartrain Bone and Joint Clinic LTDGroup PAC ID 8426091497, 18 clinicians

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

OrganizationSpecialtyStatusNew patients
LMG, LLC CurrentSince Sep 1, 2022 Accepting new patients
City Park Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2015 Accepting new patients
Pontchartrain Bone & Joint Clinic, LTD. CurrentSince Dec 1, 2023 Accepting new patients
Pontchartrain Bone & Joint Clinic, LTD. CurrentSince Dec 1, 2023 Accepting new patients
LMG LLC Physical Therapist CurrentSince Sep 1, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.