Charles J Tritch

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2018026218 Issued in MO

Practice address

9503 Mo-100
New Haven, MO 63068

Phone

(573) 237-2103

NPI assigned

Dec 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• New Haven Care Center, Inc

  • Skilled Nursing Facility
  • New Haven, MO
  • NPI 1760479125
  NPD

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1376013334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SUNSET LN",
            "city": "NEW HAVEN",
            "state": "MO",
            "postal_code": "630681052",
            "telephone_number": "573-291-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9503 MO-100",
            "city": "NEW HAVEN",
            "state": "MO",
            "postal_code": "63068",
            "telephone_number": "573-237-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITCH",
        "first_name": "CHARLES",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2018026218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratt'S Rexall Drugs, Inc
• Pratt'S Rexall Drugs, Inc
• Pratt'S Rexall Drugs, Inc.
• Chelsea Renee Schaning, COTA/L
• Ross Thomas Seitter
• Craig Neal Willimann, R.PH.
• Karen Elaine Wood, MA-CCC/SLP

• Physical Therapy Assistant in New Haven, MO
• Providers in New Haven, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.