Individual provider Active NPI

Charles P Reese, DPT

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1225757818
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39289 Issued in FL
Practice address
2055 Military TRL Ste 312
Jupiter, FL 33458-7816
Phone
(561) 779-9469
NPI assigned
Aug 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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
Physical Therapist 225100000X 39289 FL Primary

Addresses

Primary practice location

2055 Military TRL Ste 312
Jupiter, FL 33458-7816

Mailing address

2055 Military TRL Ste 312
Jupiter, FL 33458-7816
Phone (561) 779-9469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003001191 FL Practitioner - Physical Therapist in Private Practice 9537513023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S2 Physical Therapy P.a.Group PAC ID 9830426055, 9 clinicians

Practice addresses (Care Compare)

211 S Narcissus Ave
Mu 1
West Palm Beach, FL 33401-5654
Phone (561) 790-8256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39289FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
S2 Physical Therapy P.a. Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Reese Physical Therapy LLC Current Accepting new patients

Locations

2055 Military Trl
Ste 312
Jupiter, FL 33458
Phone (561) 748-9898

211 S Narcissus Ave
Apt 1
West Palm Beach, FL 33401
Phone (561) 790-8256

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1225757818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL STE 312",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587816",
            "telephone_number": "561-779-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL STE 312",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587816",
            "telephone_number": "561-779-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "CHARLES",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.