Active NPI
Charmaine Irish Longakit Juario, PT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023561
- Practice address
- 1345 Avenue of the Americas
11TH Floor
New York, NY 10105 - Phone
- (212) 981-1977
- Fax
- (646) 786-4026
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041321 | NY | |
| Physical Therapist | 225100000X | 070023561 | IL | Primary |
Addresses
Primary practice location
1345 Avenue of the Americas
11TH Floor
New York, NY 10105
Mailing address
24 Sunnyside Dr
Springfield, IL 62702
Phone (217) 610-0058
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236 | Medicaid | DC | |
| 568946544 | Other | BCBS | |
| 5874 | Other | HEALTH PARTNERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6201 W Touhy Ave
Suite 2
Chicago, IL 60646-1119
Phone (773) 701-8048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041321 | NY | MD | Pharmacist |
| 070023561 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab PC | Physical Therapist | Current | Accepting new patients |
| Total Rehab Therapy Partners, PLLC | Physical Therapist | Current | Accepting new patients |
| Total Rehab PC | Physical Therapist | Current | Accepting new patients |
| Dependable Care Staffing, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6201 W Touhy Ave
Ste 2
Chicago, IL 60646
Phone (847) 236-2450
4920 N Central Ave
Ste 1A
Chicago, IL 60630
Phone (773) 736-3338
7126 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 583-9189
455 S Roselle Rd
Ste 101
Schaumburg, IL 60193
Phone (231) 690-6828
9933 Lawler Ave
Ste 206B
Skokie, IL 60077
Phone (847) 983-8417
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1427763507
Physical Therapist
-
- Physical Therapist
- Skokie, IL
- NPI 1316654635
-
- Physical Therapist
- Roselle, IL
- NPI 1629249917
-
- Physical Therapist
- Naperville, IL
- NPI 1689619306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1922732809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SUNNYSIDE DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62702",
"telephone_number": "217-610-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 AVENUE OF THE AMERICAS",
"address_2": "11TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10105",
"telephone_number": "212-981-1977",
"fax_number": "646-786-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUARIO",
"first_name": "CHARMAINE IRISH",
"middle_name": "LONGAKIT",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041321",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "568946544",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "5874",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "1345 Avenue of the Americas",
"address_2": "11th floor",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "10105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.