Kathleen Charley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0459 Issued in NM

Practice address

200 N Orchard Ave
Farmington, NM 87401-6225

Phone

(505) 325-8231

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Basin Home Health Inc.

  dba Basin Home Health & Hospice

  • Home Health Agency
  • Farmington, NM
  • NPI 1013910348
  NPD (past)
• Basin Palliative Care Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Farmington, NM
  • NPI 1396692935
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1790939767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N ORCHARD AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016225",
            "telephone_number": "505-325-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ORCHARD AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016225",
            "telephone_number": "505-325-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEY",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-0459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mykalynn Chamblee
• Michael Jason Chandler
• Stacy Annette Chang, BSN, RN
• Georgean L Chapman, RNSFA
• Quoila Charley, CSW
• Heather Rose Charlie, NCPT
• Veronica Charlie
• Cody Randy Charlton, CRNA
• Laura Chase, CRNA
• Amber Chavez

• Physical Therapy Assistant in Farmington, NM
• Providers in Farmington, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.