Individual provider Active NPI

Charmaine C Tiu, PT

  • Physical Therapist
  • Morganville, NJ
National Provider Identifier
1902064959
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01228200 Issued in NJ
Practice address
25 Kilmer Dr
BLDG. 3, Suite 109
Morganville, NJ 07751-1564
Phone
(732) 617-9999
Fax
(732) 617-1818
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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 40QA01228200 NJ Primary

Addresses

Primary practice location

25 Kilmer Dr
BLDG. 3, Suite 109
Morganville, NJ 07751-1564

Mailing address

25 Kilmer Dr
BLDG. 3, Suite 109
Morganville, NJ 07751-1564
Phone (732) 617-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000423 NJ Practitioner - Physical Therapist in Private Practice 0244301901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avantgarde Rehabilitation Limited Liability CompanyGroup PAC ID 0547491284, 4 clinicians
Center for Sports Physical Therapy, LLCGroup PAC ID 3779027073, 2 clinicians

Practice addresses (Care Compare)

198 Route 9
Suite 100
Manalapan, NJ 07726-3073
Phone (732) 617-9999

535 Iron Bridge Rd
Suite 12
Freehold, NJ 07728-5301
Phone (732) 567-0834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sports Physical Therapy, LLC Physical Therapist CurrentSince Sep 6, 2024 Accepting new patients

Locations

535 Iron Bridge Rd
Ste 12
Freehold, NJ 07728
Phone (732) 567-0834

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1902064959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "address_2": "BLDG. 3, SUITE 109",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-617-9999",
            "fax_number": "732-617-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "address_2": "BLDG. 3, SUITE 109",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-617-9999",
            "fax_number": "732-617-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIU",
        "first_name": "CHARMAINE",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01228200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.