Charleen Tegroen PT Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19986 Issued in CA

Legal business name

CHARLEEN TEGROEN PT INC

Practice address

2080 Newbury Rd
Newbury Park, CA 91320-3387

Phone

(805) 418-0225

NPI assigned

Nov 16, 2017

Last updated

Nov 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charleen Tegroen, PTNPI 1497847495

Title

President/Ceo

Phone

(805) 418-0225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charleen Tegroen, P.T.

  • Physical Therapist
  • Reseda, CA
  • NPI 1497847495
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1386158046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 POPLAR CREST AVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913204060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 NEWBURY RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203387",
            "telephone_number": "805-418-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLEEN TEGROEN PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "TEGROEN",
        "authorized_official_first_name": "CHARLEEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-418-0225",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Castillo, ATC
• Ramon D. Castillo, DDS
• Alena Marie Castro
• Daniel Centeno, PT, DPT
• Gary Chaffee, DDS
• Kathleen Downey Chavez, PT
• Tracy Ann Cheevers
• Andrew H. Chen, D.D.S., FADSA
• Donald Fong-Cheng Chen, M.D.
• Henry Hsinchi Chen, DMD

• Physical Therapist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.