Lauren Nicole Charles, DPT, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.026638 Issued in IL

Practice address

110 W Woodstock St
Crystal Lake, IL 60014-4239

Phone

(815) 893-9075

NPI assigned

Apr 10, 2019

Sex

Female

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Smith Physical Therapy and Running Academy, LLCGroup PAC ID 7113203126, 4 clinicians

Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Smith Physical Therapy and Running Academy, LLC

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
  • NPI 1396119988

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mercy Health System Corporation

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  IL

  Medicare reassignment Care Compare group NPD
• Rci (WRS), LLC.

  • Physical Therapy Clinic/Center
  • Mt Prospect, IL
  • NPI 1417561655

  Physical Therapist

  Medicare reassignment NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1093329252
  NPD
• Mercy Health System Corporation

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  NPD

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1467915124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 ROSS LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600502469",
            "telephone_number": "815-363-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WOODSTOCK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144239",
            "telephone_number": "815-893-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Cardiovascular Excellence SC
• Center for Neurology SC
• Center for Progressive Natural Health LLC
• Mohinder Chadha, M.D.
• Shelly Lynn Ziehm Chamberlin, OTR/L, CHT
• Susan Charles, LCPC
• Boon R Charoenying, MD
• Manju Chatterji, MD
• Nishath Chaudhury, PHARMD
• Sandra Chece

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.