Active NPIIndividual provider

Amy Charles, PTA

Physical Therapy Assistant in Wall Township, New Jersey

NPI Number1700467008
Practice location
1615 Rogers CT, Wall Township, NJ 07719-3863
Fax
—
Last updated
April 19, 2021

Amy Charles is a Physical Therapy Assistant based in Wall Township, NJ. Amy Charles practices in Wall Township, NJ and has the professional credentials of PTA. The NPI Number for Amy Charles is 1700467008 and holds a License No. 40QB00282000 (NJ). The current practice location address for Amy Charles is 1615 Rogers CT, Wall Township, NJ 07719-3863 and can be reached out via phone at 732-397-5159.

Provider Profile Details

NPI Number
1700467008
Provider Name
Amy Charles
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
1615 Rogers CT, Wall Township, NJ 07719-3863
Phone Number
732-397-5159
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Other Names
Amy Novak, PTA (Former Name)
Provider Enumeration Date
April 19, 2021
Last Update Date
April 19, 2021
Certification Date
April 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1615 Rogers CT
Wall Township, NJ 07719-3863
Zip
07719-3863
Phone Number
732-397-5159
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
54 N Park Ave
Shrewsbury, NJ 07702-4413
City
Shrewsbury
State
NJ
Zip
07702-4413
Phone Number
732-852-5311

License Information

License Number
40QB00282000
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy Charles, PTA?

The NPI number of Amy Charles, PTA is 1700467008. It was assigned on April 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Amy Charles, PTA?

Amy Charles, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00282000.

Where does Amy Charles, PTA practice?

The practice location is 1615 Rogers CT, Wall Township, NJ 07719-3863. The office can be reached at 732-397-5159 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700467008 directly on the NPPES registry website.

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