Active NPI
Charina A Bloomenstein, PT
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1114927407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2871
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2871 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical and Aquatic | Current | Accepting new patients | |
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | 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
- 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.
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
- Specialist
- Scottsdale, AZ
- NPI 1912067976
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.