LAUREN NICOLE CHARLES (DPT, PT, ATC) – Physical Therapist, NPI 1467915124

LAUREN NICOLE CHARLES (DPT, PT, ATC) is a healthcare provider. based in Waukesha, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, PT, ATC. They hold a License No. 070.026638 (IL). The NPI Number for LAUREN NICOLE CHARLES (DPT, PT, ATC) is 1467915124

Main info

Female
4 Years Of Experience
Name
LAUREN NICOLE CHARLES (DPT, PT, ATC)
NPI
1467915124
Phone
(262) 524-7373
Address
100 N EAST AVE
Enumeration Date
10 April 2019
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8158939075
Graduation Year
2022 (4 years ago)
PAC ID
0749663318
Group Practice PAC ID
7113203126
Professional Enrollment ID
I20220815000898
Address ID
IL600144239CR110XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,990 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for LAUREN NICOLE CHARLES (DPT, PT, ATC)

  • 100, East Avenue, Eagle, Waukesha County, Wisconsin, 53119, United States

    WAUKESHA, WI 531863103

    Phone: (262) 524-7373

    Type: Location

  • 6507, Sycamore Court, Woodcreek, McHenry, McHenry County, Illinois, 60050, United States

    MCHENRY, IL 600507471

    Phone: (815) 363-8124

    Type: Mailing

  • 1401 N MIDLOTHIAN RD

    MUNDELEIN, IL 600601149

    Phone: (847) 388-5477

    Type: Location

  • 817 ROSS LN

    MCHENRY, IL 600502469

    Phone: (815) 363-8124

    Type: Mailing

  • 110 W WOODSTOCK ST

    CRYSTAL LAKE, IL 600144239

    Phone: (815) 893-9075

    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: 2022-08-15

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
I20220815000898IPhysical Therapist In Private PracticeILTBD

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
97140Therapy procedure using manual technique, each 15 minutes41934$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24030$0
97150Therapy procedure in a group setting21737$0
97530Therapy procedure using functional activities20225$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11325$0
View full utilization report →

Insurance plans in this area (ZIP 53186)

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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: 7113203126View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-WI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL

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Frequently asked questions

Where can patients find LAUREN NICOLE CHARLES (DPT, PT, ATC)'s NPI?
You can confirm LAUREN NICOLE CHARLES (DPT, PT, ATC) with NPI 1467915124; it appears in the national provider directory.
Does this profile mean LAUREN NICOLE CHARLES (DPT, PT, ATC) is currently active?
Yes — LAUREN NICOLE CHARLES (DPT, PT, ATC) appears active in the national provider directory.
Can you summarize LAUREN NICOLE CHARLES (DPT, PT, ATC)'s specialty in plain language?
Clinically, the directory lists LAUREN NICOLE CHARLES (DPT, PT, ATC) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is LAUREN NICOLE CHARLES (DPT, PT, ATC)'s primary listing?
We display Waukesha, Wisconsin because that is what the record indicates for LAUREN NICOLE CHARLES (DPT, PT, ATC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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