CHARLAINE ROSE PORQUEZ FAENGVAD (PT) – Physical Therapist, NPI 1144046681

CHARLAINE ROSE PORQUEZ FAENGVAD (PT) is a healthcare provider. based in Bulverde, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1290328 (TX). The NPI Number for CHARLAINE ROSE PORQUEZ FAENGVAD (PT) is 1144046681

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
CHARLAINE ROSE PORQUEZ FAENGVAD (PT)
NPI
1144046681
Phone
Not provided
Address
30857 SILVERADO SPUR
Enumeration Date
30 November 2024
Last Update Date
30 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2105724954
Graduation Year
2011 (15 years ago)
PAC ID
6002327376
Group Practice PAC ID
3274861497
Professional Enrollment ID
I20250613002188
Address ID
TX782321902SA16400RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for CHARLAINE ROSE PORQUEZ FAENGVAD (PT)

  • 30857 SILVERADO SPUR

    BULVERDE, TX 781632392

    Phone:

    Type: Mailing

  • 16400 BLANCO RD

    SAN ANTONIO, TX 782321902

    Phone: (210) 572-4954

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-13

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
I20250613002188IPhysical Therapist In Private PracticeTXTBD

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.

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

Insurance plans in this area (ZIP 78163)

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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: 3274861497View full group profile
NameSpecialtyState
Nurse PractitionerKY
Physical Therapist In Private PracticePA
Nurse PractitionerTX
Occupational Therapist In Private PracticeTX
Internal MedicineVA
Nurse PractitionerCO
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Family PracticeTX
Occupational Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Can I verify CHARLAINE ROSE PORQUEZ FAENGVAD (PT) with an NPI only?
You can start verification with NPI 1144046681 for CHARLAINE ROSE PORQUEZ FAENGVAD (PT), then check state licensing separately.
Does the file indicate CHARLAINE ROSE PORQUEZ FAENGVAD (PT) is practicing under active NPI?
Directory data currently reports CHARLAINE ROSE PORQUEZ FAENGVAD (PT) as active.
What healthcare role does CHARLAINE ROSE PORQUEZ FAENGVAD (PT) hold?
Scheduling teams often label CHARLAINE ROSE PORQUEZ FAENGVAD (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for CHARLAINE ROSE PORQUEZ FAENGVAD (PT)?
CHARLAINE ROSE PORQUEZ FAENGVAD (PT)'s geographic hint is Bulverde, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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