Individual provider Active NPI

Charles Tobola

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1316511603
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT31653 Issued in AZ
Practice address
4800 N 44TH St
Phoenix, AZ 85018-3800
Phone
(602) 808-8989
NPI assigned
May 19, 2021
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 LPT31653 AZ Primary

Addresses

Primary practice location

4800 N 44TH St
Phoenix, AZ 85018-3800

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

20414 N 27th Ave
Phoenix, AZ 85027-3250
Phone (602) 675-9005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611001183 AZ Practitioner - Physical Therapist in Private Practice 4789084831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20414 N 27TH Ave
Suite 100
Phoenix, AZ 85027-3256
Phone (702) 480-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT31653AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Camelback Sports Therapy LLC Physical Therapist CurrentSince Mar 12, 2021 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jun 15, 2023 Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

100 E Camelback Rd
Ste 120
Phoenix, AZ 85012
Phone (602) 808-8989

4800 N 44th St
Phoenix, AZ 85018
Phone (602) 808-8989

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1316511603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183800",
            "telephone_number": "602-808-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20414 N 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850273250",
            "country_code": "US",
            "telephone_number": "602-675-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBOLA",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT31653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.