Active NPI
Charles James Redmond, LAT, ATC, PT
- Specialist
- Springfield, MA
National Provider Identifier
1851320006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40
- Practice address
- 263 Alden St
Springfield College
Springfield, MA 01109-3707 - Phone
- (413) 748-3231
- Fax
- (413) 748-3371
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 40 | MA | Primary |
Addresses
Primary practice location
263 Alden St
Springfield College
Springfield, MA 01109-3707
Mailing address
263 Alden St
Springfield College
Springfield, MA 01109-3707
Phone (413) 748-3231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40 | Other | MA | ATHLETIC TRAINER LICENSE |
| 4359 | Other | MA | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851320006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 ALDEN ST",
"address_2": "SPRINGFIELD COLLEGE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093707",
"telephone_number": "413-748-3231",
"fax_number": "413-748-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 ALDEN ST",
"address_2": "SPRINGFIELD COLLEGE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093707",
"telephone_number": "413-748-3231",
"fax_number": "413-748-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMOND",
"first_name": "CHARLES",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LAT, ATC, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER LICENSE",
"identifier": "40",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "4359",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.