Individual provider Active NPI

Charles Peter Medwynter

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1306071360
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013626 Issued in NY
Practice address
2802 Albemarle Rd FL 3
Brooklyn, NY 11226-5037
Phone
(718) 812-7082
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013626 NY Primary

Addresses

Primary practice location

2802 Albemarle Rd FL 3
Brooklyn, NY 11226-5037

Mailing address

2802 Albemarle Rd FL 3
Brooklyn, NY 11226-5037
Phone (718) 812-7082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013626NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Point Physical and Occupational Therapist PLLC Physical Therapist Past Accepting new patients
Better Motion Therapy LLC Physical Therapist PastSince Oct 1, 2020 Accepting new patients
Samuel Akuoku Physician PC Past Accepting new patients

Organizations & group practices 3

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1306071360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ALBEMARLE RD FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265037",
            "telephone_number": "718-812-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ALBEMARLE RD FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265037",
            "telephone_number": "718-812-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDWYNTER",
        "first_name": "CHARLES",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.