Charlemae Ava Perkins, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

016356 Issued in OH

Practice address

6438 Wilmington Pike Ste 230
Centerville, OH 45459-7021

Phone

(937) 558-3810

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Charlemae Ava Gast Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kettering Medical Center

  • Long Term Care Pharmacy
  • Miamisburg, OH
  • NPI 1205005063
  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1497465801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 MARWOOD DR",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453057553",
            "telephone_number": "937-999-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE STE 230",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597021",
            "telephone_number": "937-558-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CHARLEMAE",
        "middle_name": "AVA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "016356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLEMAE",
            "last_name": "GAST",
            "middle_name": "AVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terri Lee Pence, FNP
• Larry M Pendley, MS
• Rita Charlene Penley, M.ED., LPCC
• Kayla Ann Pennie, LSW
• Erin Rae Perilman, CNP
• Rachel Jo Perretta, MS, RN, ACNS-BC
• Toni Peters, CNP
• Caroline E Peterson, DO
• Kim J Peterson, M.S., LPCC
• Linda Ann Pettit, CLINICAL NURSE SPECI

• Orthopedic Physical Therapist in Centerville, OH
• Providers in Centerville, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.