Charise Marie Vacca, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5072 Issued in OH

Practice address

5020 Reed Rd
Suite C
Columbus, OH 43220-2581

Phone

(614) 388-5877

Fax

(614) 388-5877

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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)

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 and National Provider Directory roles.

• Spectrum Therapy,LLC

  • Physical Therapist
  • Columbus, OH
  • NPI 1508068164
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1396947057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WESTERVILLE SQ",
            "address_2": "P.M.B. #201",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812919",
            "telephone_number": "614-348-5848",
            "fax_number": "614-388-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 REED RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202581",
            "telephone_number": "614-388-5877",
            "fax_number": "614-388-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCA",
        "first_name": "CHARISE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "5072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Utz
• Nadine Uwamahoro, APRN-PMHNP
• Uzoma Nwankwo-Njoku
• Brenda Chinonso Uzomba I, NURSE AIDE
• Catherine C Uzomba
• Michael Vacca, MA, LICDC-CS
• Luis Vaccarello, M.D.
• William Vaccariello
• Claudia Angelina Vaccaro, MT-BC
• Patrick S. Vaccaro, M.D.

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.