Individual provider Active NPI

Charlotte Rae Frenette, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1992370373
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5959 Issued in ME
Practice address
2909 N 118TH St Ste 200
Omaha, NE 68164-3643
Phone
(402) 509-5532
NPI assigned
May 26, 2021
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 PT5959 ME Primary

Addresses

Primary practice location

2909 N 118TH St Ste 200
Omaha, NE 68164-3643

Mailing address

2909 N 118TH St Ste 200
Omaha, NE 68164-3643
Phone (402) 509-5532

Other practice location 1

15 Lund Rd
Saco, ME 04072-1806
Phone (207) 828-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250113000509 GA Practitioner - Physical Therapist in Private Practice 2264832609
I20250806001565 CO Practitioner - Physical Therapist in Private Practice 2264832609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1275 W Pueblo Blvd
Pueblo, CO 81004-3866
Phone (719) 542-0589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Health & Rehab CurrentSince Aug 13, 2025 Accepting new patients
Southern Colorado Health & Rehab Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Compass Physical Therapy Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients

Locations

1275 W Pueblo Blvd
Pueblo, CO 81004
Phone (719) 542-0589

2735 Loganville Hwy
Ste B
Loganville, GA 30052
Phone (678) 404-7800

705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221

Organizations & group practices 3

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1992370373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 N 118TH ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643643",
            "telephone_number": "402-509-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 N 118TH ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643643",
            "telephone_number": "402-509-5532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Lund Rd",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040721806",
            "country_code": "US",
            "telephone_number": "207-828-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRENETTE",
        "first_name": "CHARLOTTE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.