Individual provider Active NPI

Marie T Charpentier, DPT ATC

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1093802969
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1216758 Issued in TX
Practice address
8300 Floyd Curl Dr FL 3
San Antonio, TX 78229-3931
Phone
(210) 450-9680
Fax
(210) 450-6054
NPI assigned
Oct 10, 2006
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 1216758 TX Primary

Addresses

Primary practice location

8300 Floyd Curl Dr FL 3
San Antonio, TX 78229-3931

Mailing address

8300 Floyd Curl Dr FL 3
San Antonio, TX 78229-3931
Phone (210) 450-9680

Other practice location 1

3805 Cutshaw Ave
Suite 299
Richmond, VA 23230
Phone (804) 340-1193

Other identifiers 1

IdentifierTypeStateIssuer
401878001MedicaidTX

Other names 1

  • Marie T Potter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Care, Inc Physical Therapist PastSince Jan 1, 1994 Accepting new patients
Ashland Physical Therapy Associates Inc Physical Therapist Past Accepting new patients
Boulet Rehabilitation Services, Inc. PastSince Aug 12, 2013 Accepting new patients
Richmond Physical Therapy Corp Physical Therapist PastSince Aug 13, 2001 Accepting new patients

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1093802969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 FLOYD CURL DR FL 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293931",
            "telephone_number": "210-450-9680",
            "fax_number": "210-450-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 FLOYD CURL DR FL 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293931",
            "telephone_number": "210-450-9680",
            "fax_number": "210-450-6054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 Cutshaw Ave",
            "address_2": "Suite 299",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23230",
            "country_code": "US",
            "telephone_number": "804-340-1193",
            "fax_number": "804-340-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARPENTIER",
        "first_name": "MARIE",
        "middle_name": "T",
        "credential": "DPT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1216758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401878001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "POTTER",
            "middle_name": "T",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.