MR. JOSE D CHARRIS (PT) – Physical Therapist, NPI 1689747529

MR. JOSE D CHARRIS (PT) is a healthcare provider. based in Pembroke pines, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for MR. JOSE D CHARRIS (PT) is 1689747529

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSE D CHARRIS (PT)
NPI
1689747529
Phone
(954) 432-3212
Address
12105 TAFT STREET
Enumeration Date
16 November 2006
Last Update Date
24 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547353535
Graduation Year
1985 (41 years ago)
PAC ID
0446229405
Group Practice PAC ID
6709852957
Professional Enrollment ID
I20121009000053
Address ID
FL333137268LA4850XBLXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MR. JOSE D CHARRIS (PT)

  • 12105, Taft Street, Pembroke Pines, Broward County, Florida, 33026, United States

    PEMBROKE PINES, FL 33026

    Phone: (954) 432-3212

    Fax: (954) 367-1603

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121009000053IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,408163$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care704154$0
97140Therapy procedure using manual technique, each 15 minutes675155$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes525127$0
97530Therapy procedure using functional activities20650$0
View full utilization report →

Insurance plans in this area (ZIP 33026)

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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: 6709852957View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Nurse PractitionerFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryNY
Nurse PractitionerFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Is MR. JOSE D CHARRIS (PT) listed with a National Provider Identifier?
Yes — MR. JOSE D CHARRIS (PT) has NPI 1689747529 on file in the registry.
Active or inactive — what applies to MR. JOSE D CHARRIS (PT)?
You should see MR. JOSE D CHARRIS (PT) as active in CMS-hosted NPPES data.
How would a patient describe MR. JOSE D CHARRIS (PT)'s focus?
For MR. JOSE D CHARRIS (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. JOSE D CHARRIS (PT) located near Pembroke Pines?
MR. JOSE D CHARRIS (PT) currently maps to Pembroke Pines, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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