Charles Carter, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60474879 Issued in WA

Practice address

4303 W 27TH Ave Ste C
Kennewick, WA 99338-1986

Phone

(509) 783-5644

Fax

(509) 783-5755

NPI assigned

Aug 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BBPT IncGroup PAC ID 7315935913, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• BBPT Inc

  dba Body Balance Physical Therapy

  • Physical Therapist
  • Gooding, ID
  • NPI 1811951841
  Medicare reassignment Care Compare group NPD
• Bodybalance PT Twin Falls LLC

  dba BodyBalance Physical Therapy

  • Physical Therapy Clinic/Center
  • Twin Falls, ID
  • NPI 1043657828

  Physical Therapist

  Medicare reassignment NPD
• Lon M. Egbert, P.C.

  dba Jerome Physical Therapy & Sports Medicine Clinic

  • Physical Therapist
  • Jerome, ID
  • NPI 1265527725
  Medicare reassignment
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1255740866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 W 27TH AVE STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381986",
            "telephone_number": "509-783-5644",
            "fax_number": "509-783-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHARLES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60474879",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60474879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0329551",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0329549",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038541",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amaris R Carrillo
• Elida Carrillo
• Elyde Marit Carrillo, PTA
• Jose A Carrillo, CDP
• Alma John Carter, O.D.
• Travis S Carter, DPM
• Alice Marie Carvo, PHARMD
• Amber L Casey, COTA
• Rosa Margarita Casillas, ARNP
• Ashley Castaneda

• Physical Therapist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.