Active NPI
Steven M Charbonnet, PHYSICAL THERAPY
- Orthopedic Physical Therapist
- Los Angeles, CA
National Provider Identifier
1780105429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 293115
- Practice address
- 6080 Center Dr FL 6
Los Angeles, CA 90045-9205 - Phone
- (888) 859-0145
- NPI assigned
- Jul 3, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 293115 | CA | Primary |
Addresses
Primary practice location
6080 Center Dr FL 6
Los Angeles, CA 90045-9205
Mailing address
PO Box 1295
Venice, CA 90294-1295
Phone (888) 859-0145
Other practice location 1
1600 Main St Fl 2
Venice, CA 90291-3626
Phone (888) 859-0145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171027001069 | CA | Practitioner - Physical Therapist in Private Practice | 1759657216 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6060 Ctr Dr
FL 10
Los Angeles, CA 90045-1598
Phone (888) 859-0145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293115 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands on Rehab, Inc. | Current | Accepting new patients |
Locations
7921 Professional Cir
Huntington Beach, CA 92648
Phone (714) 847-8751
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": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1780105429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1295",
"city": "VENICE",
"state": "CA",
"postal_code": "902941295",
"telephone_number": "888-859-0145",
"fax_number": "888-858-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 CENTER DR FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900459205",
"telephone_number": "888-859-0145"
}
],
"practiceLocations": [
{
"address_1": "1600 Main St Fl 2",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "CA",
"postal_code": "902913626",
"country_code": "US",
"telephone_number": "888-859-0145",
"fax_number": "888-858-1601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARBONNET",
"first_name": "STEVEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHYSICAL THERAPY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-03",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "293115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.