Active NPI
Joseph Rene Charron, PT
- Physical Therapist
- Keeseville, NY
National Provider Identifier
1639271026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040-0003691
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 040-0003691 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essex County Chapter, Nysarc, Inc. | Current | 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.
-
- Early Intervention Provider Agency
- Port Henry, NY
- NPI 1427134451
-
- Physical Therapist
- Waitsfield, VT
- NPI 1538128467
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.