Active NPI
Charles Joseph Stelk, P.T.
- Physical Therapist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010040
- Practice address
- 1321 Colby Ave
Everett, WA 98201-1665 - Phone
- (426) 261-3825
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- 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 | PT00010040 | WA | Primary |
Addresses
Primary practice location
1321 Colby Ave
Everett, WA 98201-1665
Mailing address
17520 Linden Ave N
Apt B 208
Shoreline, WA 98133-4827
Phone (563) 271-0029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7455 W Washington Ave
Suite 100
Las Vegas, NV 89128-4338
Phone (702) 655-9456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6478 | NV | MD | General Practice Dentistry |
| PT00010040 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation, LLC | Current | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732
4370 Blue Diamond Rd
Ste 100
Las Vegas, NV 89139
Phone (702) 443-9301
7455 W Washington Ave
Ste 100
Las Vegas, NV 89128
Phone (702) 655-9456
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapist
- Las Vegas, NV
- NPI 1396777892
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1801471628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235288978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17520 LINDEN AVE N",
"address_2": "APT B 208",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334827",
"telephone_number": "563-271-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011665",
"telephone_number": "426-261-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELK",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.