Individual provider Active NPI

Charlene Winiker, PT

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1376078832
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-003047 Issued in AZ
Practice address
7901 S College Ave
Tempe, AZ 85284-1410
Phone
(602) 708-2313
NPI assigned
Apr 21, 2017
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003047 AZ
Physical Therapist 225100000X LPT-003047 AZ Primary

Addresses

Primary practice location

7901 S College Ave
Tempe, AZ 85284-1410

Mailing address

7901 S College Ave
Tempe, AZ 85284-1410
Phone (602) 708-2313

Other identifiers 1

IdentifierTypeStateIssuer
LPT-003047OtherAZLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170619002821 AZ Practitioner - Physical Therapist in Private Practice 0345518189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hari Krishna Health LLCGroup PAC ID 5092194019, 6 clinicians

Practice addresses (Care Compare)

1807 E Queen Creek Rd
Suite 7
Chandler, AZ 85286-2023
Phone (602) 666-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003047AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hari Krishna Health LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC PastSince May 8, 2019 Accepting new patients
Strength Training Inc PastSince Dec 30, 2018 Accepting new patients
Desert Sun Physical Therapy, LLC PastSince Apr 22, 2024 Accepting new patients
Physical Therapy Solutions LLC Physical Therapist PastSince May 30, 2017 Accepting new patients

Locations

1807 E Queen Creek Rd
Ste 7
Chandler, AZ 85286
Phone (480) 361-4604

430 W Warner Rd
Ste 104
Tempe, AZ 85284
Phone (602) 421-7481

Organizations & group practices 5

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1376078832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 S COLLEGE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841410",
            "telephone_number": "602-708-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 S COLLEGE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841410",
            "telephone_number": "602-708-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINIKER",
        "first_name": "CHARLENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "003047",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-003047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LPT-003047",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.