Individual provider Active NPI

Charina A Bloomenstein, PT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1114927407
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2871 Issued in AZ
Practice address
9746 N 90TH PL
Suite 103
Scottsdale, AZ 85258-5083
Phone
(480) 443-3534
Fax
(480) 367-9515
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2871 AZ Primary

Addresses

Primary practice location

9746 N 90TH PL
Suite 103
Scottsdale, AZ 85258-5083

Mailing address

9746 N 90TH PL
Suite 103
Scottsdale, AZ 85258-5083
Phone (480) 443-3534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000910 AZ Practitioner - Physical Therapist in Private Practice 0042336976 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2871AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical and Aquatic CurrentSince Sep 1, 1998 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

9746 N 90th Pl
Ste 103
Scottsdale, AZ 85258
Phone (480) 443-3534

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2959/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114927407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585083",
            "telephone_number": "480-443-3534",
            "fax_number": "480-367-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585083",
            "telephone_number": "480-443-3534",
            "fax_number": "480-367-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMENSTEIN",
        "first_name": "CHARINA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.