Amy Charles, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00282000 Issued in NJ

Practice address

1615 Rogers CT
Wall Township, NJ 07719-3863

Phone

(732) 397-5159

NPI assigned

Apr 19, 2021

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

Other names 1

• Amy Novak Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pearl Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Shrewsbury, NJ
  • NPI 1225630122
  NPD

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1700467008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N PARK AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024413",
            "telephone_number": "732-852-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 ROGERS CT",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193863",
            "telephone_number": "732-397-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "AMY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00282000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "webpt",
            "affiliation": "N",
            "endpointDescription": "documentation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1615 Rogers Ct",
            "city": "Wall Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077193863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NOVAK",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Carragher, LCSW
• Michael Eggie Carroll
• John Castleman, RN
• Cheryl E Caudill, PA-C
• Valeria Cermele, RPH
• Child Neurology Associates, P.a.
• Christian Psychological Studies Institute, LLC
• Eileen Cieri, N.P.
• Samantha Lynn Ciesmelewski, OTR/L
• Michael J Ciskowski, PA-C

• Physical Therapy Assistant in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.