Charles Allen Hurst III, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2323 Issued in AK

Practice address

4107 Hohe St
Homer, AK 99603-7008

Phone

(907) 235-0687

Fax

(907) 235-4017

NPI assigned

Aug 30, 2006

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1396855805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 HOHE ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037008",
            "telephone_number": "907-235-0687",
            "fax_number": "907-235-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 HOHE ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037008",
            "telephone_number": "907-235-0687",
            "fax_number": "907-235-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "CHARLES",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PT2323",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "27808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence O. Hughes, M.D.
• Erin Hull, LMT
• Jennifer K Hultberg Dye, M.ED. L.P.C.
• Angela Hunt, LAC
• Caroline Berrigan Hurley
• Andrea Lynn Huyck, LMT
• Adam Hykes
• Independent Living Center, Inc
• Cherie Michelle Inglis, M.D.
• Ian Inglis

• Physical Therapist in Homer, AK
• Providers in Homer, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.