Sydney Grace Charles, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5967 Issued in ME

Practice address

1 Enterprise Drive
Biddeford, ME 04005-4239

Phone

(207) 951-3373

NPI assigned

Sep 25, 2021

Last updated

Sep 19, 2023By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1861163123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE DRIVE",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054239",
            "telephone_number": "207-890-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE DRIVE",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054239",
            "telephone_number": "207-951-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SYDNEY",
        "middle_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT5967",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kittery",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Wiggle Worms Pediatric Physical Therapy, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16 Landmark Hill Ln",
            "city": "Kittery",
            "state": "ME",
            "country_code": "US",
            "postal_code": "039042100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emma Chabot, OTR/L
• Erica Chaffey, PA-C
• Chantel Madden Psychotherapy, LLC
• Cynthia Tien-Bao Chao, M.D.
• Suellen Chaplin-Beckett, CNS
• Sean Chase, LCPC-CC
• Victoria Chase, PHARMD
• Zack Chase
• Rihua Chen, DPM
• Shelley Chen

• Physical Therapist in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.