Charleen Tegroen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19986 Issued in CA

Practice address

18420 Hart St
Reseda, CA 91335-4317

Phone

(818) 996-1081

Fax

(818) 996-1315

NPI assigned

Sep 28, 2006

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

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.

• Charleen Tegroen PT Inc

  • Physical Therapist
  • Newbury Park, CA
  • NPI 1386158046

  CA, Physical Therapist

  Medicare reassignment NPD Authorized official
• Biomotion Physical Therapy PC

  • Physical Therapist
  • Moorpark, CA
  • NPI 1124050190
  NPD (past)
• Genesis Physical Therapy Inc.

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1467467282
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497847495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913100278",
            "telephone_number": "818-996-1081",
            "fax_number": "818-996-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18420 HART ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354317",
            "telephone_number": "818-996-1081",
            "fax_number": "818-996-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGROEN",
        "first_name": "CHARLEEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Reseda, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.