Active NPI
Charles T Spina, PT,JSCC,CEAS
- Physical Therapist
- Fresno, CA
National Provider Identifier
1386858959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15431
- Practice address
- 7005 N Maple Ave
Suite 104
Fresno, CA 93720-8009 - Phone
- (559) 325-3503
- Fax
- (559) 325-3504
- NPI assigned
- May 10, 2007
- Last updated
- Apr 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT15431 | CA | Primary |
| Ergonomics Physical Therapist | 2251E1200X |
Addresses
Primary practice location
7005 N Maple Ave
Suite 104
Fresno, CA 93720-8009
Mailing address
6596 N Raisina Ave
Fresno, CA 93710-3945
Phone (916) 214-3941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK761U | Other | CA | MEDICARE PTAN |
Other names 1
- Chuck Spina
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT15431 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand to Shoulder Rehab, Inc. | Physical Therapist | Current | Accepting new patients |
| El Dorado Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| El Dorado Physical Therapy & Associates | Physical Therapist | Past | Accepting new patients |
| Newcastle Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Sacramento Spine & Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
| Sacramento Spine & Physical Therapy Inc. | Past | Accepting new patients |
Locations
7005 N Maple Ave
Ste 104
Fresno, CA 93720
Phone (559) 222-8785
Organizations & group practices 6
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.
-
dba Lindsay Pimentel Hand to Shoulder Rehab
- Occupational Therapist
- Fresno, CA
- NPI 1972502300
Physical Therapist
-
dba El Dorado Physical Therapy
- Physical Therapist
- El Dorado Hills, CA
- NPI 1275526857
-
- Physical Therapy Clinic/Center
- El Dorado Hills, CA
- NPI 1033446448
Physical Therapist
-
- Physical Therapist
- Folsom, CA
- NPI 1740399690
-
- Orthopedic Physical Therapist
- Roseville, CA
- NPI 1851469845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1386858959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6596 N RAISINA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937103945",
"telephone_number": "916-214-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 N MAPLE AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208009",
"telephone_number": "559-325-3503",
"fax_number": "559-325-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA",
"first_name": "CHARLES",
"middle_name": "T",
"credential": "PT,JSCC,CEAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15431",
"primary": true
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CK761U",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHUCK",
"last_name": "SPINA",
"credential": "PT,JSCC,CEAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fresno, CA
- Laura Lee Spera, LMFT
- Abbigail Speth
- Garrett Speyer, CRNA
- Marie Cecilia Spezia, MD
- Megan Spikes
- Spine and Orthopaedic Medical Center
- Spine and Pain Treatment Medical Center of Santa Barbara Inc. (Lags Surgery Center Fresno, Lags Surgery Center Oxnard)
- Spineintervention Medical Group
- Spirit of Woman of Ca, Inc.
- James Spiropulos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.