Kimberly Ann Charles, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2054070 Issued in TX

Practice address

219 N.King St.
Alice, TX 78332

Phone

(361) 460-0979

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1023650835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 423",
            "city": "BEN BOLT",
            "state": "TX",
            "postal_code": "78342",
            "telephone_number": "361-460-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N.KING ST.",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-460-0979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S. Terrell St.",
            "address_purpose": "LOCATION",
            "city": "Falfurrias",
            "state": "TX",
            "postal_code": "78355",
            "country_code": "US",
            "telephone_number": "361-460-0979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2054070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Alice",
            "affiliation": "N",
            "address_1": "219 N.King St.",
            "city": "Alice",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Alice",
            "affiliation": "N",
            "address_1": "219 N.King St.",
            "city": "Alice",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Alice",
            "affiliation": "N",
            "address_1": "219 N.King St.",
            "city": "Alice",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Alice",
            "affiliation": "N",
            "address_1": "219 N.King St.",
            "city": "Alice",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luis Castillo, RN BS
• Miguel Armando Castro, PHYSICAL THERAPIST
• Arturo Cedillo, LAT
• Victoria Chapa Serna, OTR
• Jaden Renee Charles
• Maria Elvira Chavez, P.T.
• Victorine CHI
• Christus Spohn Health System Corporation (CHRISTUS Spohn Hospital Alice)
• Christus Spohn Health System Corporation (CHRISTUS Spohn Hospital Alice)
• Citica Home Health, LLC

• Physical Therapy Assistant in Alice, TX
• Providers in Alice, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.