DAN CHARBONEAU (PHYSICAL THERAPIST) – Physical Therapist, NPI 1770526667

Physical Therapist

DAN CHARBONEAU (PHYSICAL THERAPIST) is a healthcare provider. based in Ada, Oklahoma. specializing in Physical Therapist. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. 2218 (OK). The NPI Number for DAN CHARBONEAU (PHYSICAL THERAPIST) is 1770526667

Main info

Male

Sole Proprietor

32 Years Of Experience

Accepts Medicare Assignment

Name

DAN CHARBONEAU (PHYSICAL THERAPIST)

NPI

1770526667

Phone

(580) 436-3633

Address

511 N MONTE VISTA ST

Enumeration Date

14 June 2006

Last Update Date

28 May 2008

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5804363633

Graduation Year

1994 (32 years ago)

PAC ID

9638232416

Group Practice PAC ID

2567525348

Professional Enrollment ID

I20100907000403

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DAN CHARBONEAU (PHYSICAL THERAPIST)

511, North Monte Vista Street, Ada, Pontotoc County, Oklahoma, 74820, United States
ADA, OK 748204611
Phone: (580) 436-3633
Fax: (580) 436-2977
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.

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Medicare Enrollment & Revalidation

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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)

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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 74820)

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Provider's Procedures

DAN CHARBONEAU (PHYSICAL THERAPIST) performs procedures in Physical Therapist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICAL THERAPY	OK	97110	Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2684	121

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Frequently asked questions

What NPI should I save for DAN CHARBONEAU (PHYSICAL THERAPIST)?

Save NPI 1770526667 if you need a stable reference for DAN CHARBONEAU (PHYSICAL THERAPIST).

Is DAN CHARBONEAU (PHYSICAL THERAPIST)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What field does DAN CHARBONEAU (PHYSICAL THERAPIST) work in?

You can think of DAN CHARBONEAU (PHYSICAL THERAPIST) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.

Does DAN CHARBONEAU (PHYSICAL THERAPIST) practice in Oklahoma?

You will see Ada, Oklahoma on file for DAN CHARBONEAU (PHYSICAL THERAPIST) alongside any extra practice locations.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.