Individual provider Active NPI

Charles L Wright, DPT

  • Physical Therapist
  • Florence, AL
National Provider Identifier
1821851049
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2310 Mall Rd
Florence, AL 35630-2891
Phone
(256) 764-4242
Fax
(256) 764-4343
NPI assigned
Jan 31, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2310 Mall Rd
Florence, AL 35630-2891

Mailing address

2310 Mall Rd
Florence, AL 35630-2891
Phone (256) 764-4242

Other practice location 1

48 Market Sq
Rogersville, AL 35652-8008
Phone (256) 247-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227003879 AL Practitioner - Physical Therapist in Private Practice 7618312802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance Rehab, LLCGroup PAC ID 0749206308, 10 clinicians

Practice addresses (Care Compare)

2310 Mall Rd
Florence, AL 35630-2891
Phone (256) 764-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Rehab, LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Peak Performance Rehab,LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

2310 Mall Rd
Florence, AL 35630
Phone (256) 764-4242

2465 Mall Rd
Florence, AL 35630
Phone (256) 764-4242

48 Market Sq
Rogersville, AL 35652
Phone (256) 247-5000

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, 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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1821851049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302891",
            "telephone_number": "256-764-4242",
            "fax_number": "256-764-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302891",
            "telephone_number": "256-764-4242",
            "fax_number": "256-764-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Market Sq",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "AL",
            "postal_code": "356528008",
            "country_code": "US",
            "telephone_number": "256-247-5000",
            "fax_number": "256-247-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.

Verify at the official NPI Registry.