Lynne Crockett Charles, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1286062 Issued in TX

Practice address

810 E Ralph Hall Pkwy
Rockwall, TX 75032-6878

Phone

(972) 722-0555

NPI assigned

Oct 11, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Frances Lynne Crockett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1124538533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 GULLWING DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875389",
            "telephone_number": "757-509-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E RALPH HALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326878",
            "telephone_number": "972-722-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "LYNNE",
        "middle_name": "CROCKETT",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1286062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "CROCKETT",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Chandler, M.S., LCDC, LPCI
• Jeff Chandler, L.P.C.
• Andrew J Chang, MD, MPH
• Michelle Chang
• Aayushma Chapagian, RBT
• Raziya Chase
• Ram Priya Chaturvedi, M.D.
• Samishtha Bhushan Chauhan, MSN, RN, NC-BC
• Chloe Phelps Chauvin, DC
• Claudia Catalina Chavarro, FNP-C

• Physical Therapist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.