Active NPI
Charity Anne Parker, PT, DPT
- Physical Therapist
- Richmond Hill, GA
National Provider Identifier
1740962182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016710
- Practice address
- 10144 Ford Ave
Richmond Hill, GA 31324-3936 - Phone
- (912) 727-2321
- NPI assigned
- Aug 4, 2023
- Last updated
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | PT016710 | GA | Primary |
Addresses
Primary practice location
10144 Ford Ave
Richmond Hill, GA 31324-3936
Mailing address
212 W Whatley St
Pooler, GA 31322-3028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016710 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCD Rehab & Fitness, LLC | Current | Accepting new patients |
Locations
10144 Ford Ave
Richmond Hill, GA 31324
Phone (912) 727-2321
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1740962182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 W WHATLEY ST",
"city": "POOLER",
"state": "GA",
"postal_code": "313223028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10144 FORD AVE",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243936",
"telephone_number": "912-727-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "CHARITY",
"middle_name": "ANNE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.