CHARLOTTE HEIDELBERG STARK (DPT) – Physical Therapist, NPI 1063791150

CHARLOTTE HEIDELBERG STARK (DPT) is a healthcare provider. based in Pensacola, Florida. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT26695 (FL). The NPI Number for CHARLOTTE HEIDELBERG STARK (DPT) is 1063791150

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
CHARLOTTE HEIDELBERG STARK (DPT)
NPI
1063791150
Phone
(850) 477-6966
Address
2065 AIRPORT BLVD
Enumeration Date
8 August 2011
Last Update Date
8 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504354800
Graduation Year
2008 (18 years ago)
PAC ID
3173818655
Group Practice PAC ID
3274616453
Professional Enrollment ID
I20160823001316
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for CHARLOTTE HEIDELBERG STARK (DPT)

  • 2065 AIRPORT BLVD

    SUITE 300

    PENSACOLA, FL 325045931

    Phone: (850) 477-6966

    Fax: (850) 477-0267

    Type: Mailing

  • 1921 ORTEGA ST

    NAVARRE, FL 325664111

    Phone: (850) 936-8916

    Fax: (850) 936-8936

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274616453View full group profile
NameSpecialtyState
WILLIAM III MUNOZ
Orthopedic SurgeryFL
MATTHEW DZWONKIEWICZ (PA-C)
-FL
MICHAEL JAMES KREBSBACH (M.D.)
-FL
DR. ALAN STUART ROUTMAN (M.D.)
-FL
MELISSA HOCHMAN
Physical Therapist In Private PracticeFL
ELLIS OKYLE (D.P.T.)
Physical Therapist In Private PracticeFL
DR. MICHAEL RICHARD MIJARES (M.D.)
Sports MedicineFL
MATTHEW EARHART (PA-C)
Physician AssistantFL
JOHANNES VICTOR BLOM (M.D.)
Orthopedic SurgeryFL
KRISTINA GOMES (PA-C)
Physician AssistantFL

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Frequently asked questions

What unique ID ties claims to CHARLOTTE HEIDELBERG STARK (DPT)?
NPI 1063791150 is assigned to CHARLOTTE HEIDELBERG STARK (DPT) under the national enumeration system.
Is CHARLOTTE HEIDELBERG STARK (DPT)'s NPI currently valid?
The extract we use shows CHARLOTTE HEIDELBERG STARK (DPT) as active.
Does CHARLOTTE HEIDELBERG STARK (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for CHARLOTTE HEIDELBERG STARK (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHARLOTTE HEIDELBERG STARK (DPT)?
The page summarizes Pensacola, Florida for CHARLOTTE HEIDELBERG STARK (DPT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.