Individual provider Active NPI

Charles C Ingle, PT

  • Physical Therapist
  • Kinston, NC
National Provider Identifier
1578539490
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2105 Issued in NC
Practice address
1610 N Queen St
Kinston, NC 28501-2947
Phone
(252) 522-1960
Fax
(252) 522-3298
NPI assigned
Feb 28, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2105 NC Primary

Addresses

Primary practice location

1610 N Queen St
Kinston, NC 28501-2947

Mailing address

PO Box 1387
Grifton, NC 28530-1387
Phone (252) 524-4935

Other identifiers 4

IdentifierTypeStateIssuer
4524AOtherNCBCBS
297548OtherNCMAMSI
A7962OtherNCMEDCOST
724524AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409002126 NC Practitioner - Physical Therapist in Private Practice 0840255212 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2105NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2024 Accepting new patients
Proactive Therapy of North Carolina Inc Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 1, 2024 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2024 Accepting new patients
Proactive Therapy of North Carolina Inc Past Accepting new patients
Bio-Medical Applications of North Carolina, Inc. Past Accepting new patients

Locations

10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351

615 S Hughes Blvd
Ste B
Elizabeth City, NC 27909
Phone (252) 335-2087

1610 N Queen St
Kinston, NC 28501
Phone (252) 522-1960

404 Airport Rd
Kinston, NC 28504
Phone (252) 522-1960

2654 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 637-0093

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578539490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "GRIFTON",
            "state": "NC",
            "postal_code": "285301387",
            "telephone_number": "252-524-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012947",
            "telephone_number": "252-522-1960",
            "fax_number": "252-522-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4524A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "297548",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A7962",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724524A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.