Active NPI
Charles Michael Pablo, PT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02406000
- Practice address
- 115 E 57TH St Ste 520
New York, NY 10022-2221 - Phone
- (212) 755-5500
- NPI assigned
- Jun 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02406000 | NJ | Primary |
| Physical Therapist | 225100000X | 041396 | NY |
Addresses
Primary practice location
115 E 57TH St Ste 520
New York, NY 10022-2221
Mailing address
13 Mair Ave
Totowa, NJ 07512-2312
Phone (201) 889-0119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NM
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041369 | NY | MD | Pharmacist |
| 041396 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy at Dawn, LLC | Physical Therapist | Current | Accepting new patients |
| Stern at Home Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
3611 NM 528 NW
Ste 101
Albuquerque, NM 87114
Phone (505) 217-2826
6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930
4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556
Organizations & group practices 3
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
dba Stern At Home Therapy
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
Physical Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Albuquerque, NM
- NPI 1780695551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1063941029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 MAIR AVE",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075122312",
"telephone_number": "201-889-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 57TH ST STE 520",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222221",
"telephone_number": "212-755-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABLO",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02406000",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041396",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.