Dyan Charlemagne, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA14689 Issued in FL

Practice address

2106 Bradford St
Clearwater, FL 33760-1921

Phone

(727) 510-7733

NPI assigned

May 18, 2012

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1578823910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 BRADFORD ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 BRADFORD ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601921",
            "telephone_number": "727-510-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEMAGNE",
        "first_name": "DYAN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA14689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberato Chapa, MD
• Alfred B Chapman, D.O.
• Joseph Chapman, D.C.
• Laurie Ann Chappell, LSA, CST/CSFA
• Brian M Charity, DO
• Charles E Abrahamsen, MD, PA
• Charles F Crandall DC PA
• Charles Wheaton PHD PA
• Gloria Gertrude Chase, P.T.A.
• Chateau Blanc, Inc

• Physical Therapy Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.