Individual provider Active NPI

Charlene Marvive, DPT, PT

  • Physical Therapist
  • Burlingame, CA
National Provider Identifier
1124876818
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307960 Issued in CA
Practice address
1860 El Camino Real Ste 201
Burlingame, CA 94010-3111
Phone
(650) 259-8009
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1373660 TX
Physical Therapist 225100000X 307960 CA Primary

Addresses

Primary practice location

1860 El Camino Real Ste 201
Burlingame, CA 94010-3111

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

1201 Colonel Dr
Garland, TX 75043-1303
Phone (972) 278-3566

Other practice location 2

1300 Madison St
Seattle, WA 98104-1315
Phone (206) 386-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250107003973 WA Practitioner - Physical Therapist in Private Practice 2365970183 Reassigns benefits to 1 organization
I20250831000122 CA Practitioner - Physical Therapist in Private Practice 2365970183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1860 El Camino Real
Suite 201
Burlingame, CA 94010-3111

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1373660TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Aug 4, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients

Locations

1860 El Camino Real
Ste 201
Burlingame, CA 94010
Phone (650) 259-8009

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

1300 Madison St
Seattle, WA 98104
Phone (206) 322-9316

Organizations & group practices 5

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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1124876818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 201",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103111",
            "telephone_number": "650-259-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Colonel Dr",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750431303",
            "country_code": "US",
            "telephone_number": "972-278-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Madison St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041315",
            "country_code": "US",
            "telephone_number": "206-386-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARVIVE",
        "first_name": "CHARLENE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1373660",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.