Charles Carter II, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA23184 Issued in FL

Practice address

1301 W Maitland Blvd
Maitland, FL 32751-4338

Phone

(407) 645-3990

Fax

(352) 382-1146

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By 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

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1679231492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "800-804-9961",
            "fax_number": "352-382-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W MAITLAND BLVD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514338",
            "telephone_number": "407-645-3990",
            "fax_number": "352-382-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER II",
        "first_name": "CHARLES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princess Gizelle Carreno
• Ricardo Carriles-Albertorio, DPT
• Breeana Carrillo
• Ludemar Carrion, MSW
• George William Carroll, MD
• Shannon Elizabeth Carter, PH.D.
• Morgan R Caruso, RPHT
• Ryan Casada, LMHC
• Svetlana Aleksandrovna Cascio, M.D.
• Joneil Casimir, DPT

• Physical Therapy Assistant in Maitland, FL
• Providers in Maitland, 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 Nov 30, 2021; 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.