Charles Peters

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

105 Meadow View Rd Ste 4
Bristol, TN 37620-1726

Phone

(423) 844-6935

NPI assigned

Feb 10, 2014

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Male

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 TN, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

East Tennessee State University Quillen College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians

Optimum Physical TherapyGroup PAC ID 3072034818, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.peters.1@1054.direct.athenahealth.com
• Direct secure messaging: charles.peters.1@1366.direct.athenahealth.com

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.

• Campbell Clinic, PC

  • Orthopaedic Surgery Physician
  • Germantown, TN
  • NPI 1003835141
  Medicare reassignment Care Compare group NPD
• Optimum Physical Therapy

  • Physical Therapy Clinic/Center
  • Elizabethton, TN
  • NPI 1124847678

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Appalachian Orthopaedic Associates P C

  dba Appalachian Orthopedics Associates, PC

  • Orthopaedic Surgery Physician
  • Rogersville, TN
  • NPI 1063875649
  Medicare reassignment NPD
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - North Bristol

  • Rehabilitation Clinic/Center
  • Bristol, VA
  • NPI 1093372781

  Physical Therapist

  Medicare reassignment NPD
• Appalachian Orthopaedic Associates P C

  dba Appalachian Rehabilitation and Sports Medicine

  • Physical Therapy Clinic/Center
  • Johnson City, TN
  • NPI 1528128063
  NPD
• Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Kingsport, TN
  • NPI 1669940078
  NPD
• Campbell Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Carthage, TN
  • NPI 1669366068
  NPD
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - Madison Heights

  • Rehabilitation Clinic/Center
  • Madison Heights, VA
  • NPI 1063282184
  NPD

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1588088629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 FORT HENRY DR STE 300",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632256",
            "telephone_number": "423-239-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEADOW VIEW RD STE 4",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201726",
            "telephone_number": "423-844-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Reece Pennings, FNP
• Jarvis Ethan Pennington
• Benjamin Perrin, DPT
• Morgan Perry, ATC
• Tim A Perry, LPC MHSP MA
• Destenee Kimi-Taylor Pham
• Peter Diem Dinh Pham
• Phi Air Medical, L.L.C.
• Phi, Inc. (PHI Air Medical)
• Jenna Nichole Phillips, LMSW

• Physical Therapist in Bristol, TN
• Providers in Bristol, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.