Active NPI
Charmaine Azeez, P.T.
- Physical Therapist
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007102A
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05007102A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Inhometherapy Inc | Physical Therapist | Current | 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.
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Physical Therapist
-
- Physical Therapist
- Naperville, IL
- NPI 1033755566
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
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.