Individual provider Active NPI

Joseph Rene Charron, PT

  • Physical Therapist
  • Keeseville, NY
National Provider Identifier
1639271026
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0003691 Issued in VT
Practice address
100 Industrial Park Road
Keeseville, NY 12944
Phone
(518) 834-1188
Fax
(518) 834-1155
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 040-0003691 VT Primary

Addresses

Primary practice location

100 Industrial Park Road
Keeseville, NY 12944

Mailing address

10 St Patrick PL
Port Henry, NY 12974-1200
Phone (518) 546-7151

Other practice location 1

108 Catamount Park
Middlebury, VT 05753
Phone (802) 388-4572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221001767 NY Practitioner - Physical Therapist in Private Practice 1658662416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex County Chapter Nysarc IncGroup PAC ID 9133419948, 10 clinicians

Practice addresses (Care Compare)

10 St Patrick PL
Port Henry, NY 12974-1200
Phone (518) 546-7151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040-0003691VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County Chapter, Nysarc, Inc. CurrentSince Nov 11, 2023 Accepting new patients
Back to Action Physical Therapy PLC Physical Therapist Past Accepting new patients

Locations

10 St Patrick Pl
Port Henry, NY 12974
Phone (518) 546-3381

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1639271026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ST PATRICK PL",
            "city": "PORT HENRY",
            "state": "NY",
            "postal_code": "129741200",
            "telephone_number": "518-546-7151",
            "fax_number": "518-546-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDUSTRIAL PARK ROAD",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "12944",
            "telephone_number": "518-834-1188",
            "fax_number": "518-834-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Catamount Park",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "VT",
            "postal_code": "05753",
            "country_code": "US",
            "telephone_number": "802-388-4572",
            "fax_number": "802-388-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARRON",
        "first_name": "JOSEPH",
        "middle_name": "RENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keeseville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.