Individual provider Active NPI

Charmaine Azeez, P.T.

  • Physical Therapist
  • Munster, IN
National Provider Identifier
1033329578
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007102A Issued in IN
Practice address
9108 Columbia Ave
Suite a
Munster, IN 46321-2907
Phone
(219) 678-3695
Fax
(815) 806-8213
NPI assigned
May 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05007102A IN Primary

Addresses

Primary practice location

9108 Columbia Ave
Suite a
Munster, IN 46321-2907

Mailing address

11852 Coquille Dr
Frankfort, IL 60423-7829
Phone (219) 678-3695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180206002008 IL Practitioner - Physical Therapist in Private Practice 9335230705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

234 Mall Blvd
Suite G50
King of Prussia, PA 19406-2921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05007102AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Oct 7, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Oct 7, 2025 Accepting new patients
Inhometherapy Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

150 Harvester Dr
Ste 190
Burr Ridge, IL 60527
Phone (866) 573-2556

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 294-8606

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

234 Mall Blvd
Ste G50
King of Prussia, PA 19406
Phone (610) 379-2852

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033329578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11852 COQUILLE DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237829",
            "telephone_number": "219-678-3695",
            "fax_number": "815-806-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 COLUMBIA AVE",
            "address_2": "SUITE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212907",
            "telephone_number": "219-678-3695",
            "fax_number": "815-806-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEEZ",
        "first_name": "CHARMAINE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007102A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.