CHARLES ROQUE P.T.
NPI 1164746871
Physical Therapist in Commerce, CA

Active since March 24, 2010
5211 E WASHINGTON BLVD, STE 18, COMMERCE, CA 90040(323) 980-9825(323) 980-9898 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Charles Roque P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES ROQUE P.T. (NPI 1164746871) is an individual physical therapist in Commerce, California, licensed in California (PT24193) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1164746871
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCHARLES ROQUECredential: P.T.
Location Address5211 E WASHINGTON BLVD, STE 18Commerce, CA 90040-3959
Mailing Address5211 E Washington Blvd, Ste 18Commerce, CA 90040-3959 · (323) 980-9825 · Fax (323) 980-9898
Fax(323) 980-9898
Sole ProprietorNo
Enumeration DateMarch 24, 2010
Last NPPES UpdateNovember 29, 2021
✔ NPI 1164746871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT24193
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5211 E WASHINGTON BLVD, Commerce, CA 90040

Other Identifiers 1

OtherPT24193CA · Physical Therapy Board Of California

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Roque P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Charles Roque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
8800 WHITTIER BLVD
Pico Rivera, CA 90660
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
5211 E WASHINGTON BLVD, SUITE #7
COMMERCE, CA 90040
Physical Therapist
5211 E WASHINGTON BLVD, STE 18
COMMERCE, CA 90040
Neuromusculoskeletal Medicine, Sports Medicine
5211 E WASHINGTON BLVD, SUTIE 18
COMMERCE, CA 90040
Psychologist (Clinical Child & Adolescent)
5211 E WASHINGTON BLVD
COMMERCE, CA 90040
Chiropractor (Orthopedic)
5211 E WASHINGTON BLVD, SUITE 200
COMMERCE, CA 90040
Dentist
5211 E WASHINGTON BLVD, STE #7
COMMERCE, CA 90040
Physical Therapist
5211 E WASHINGTON BLVD, STE 18
COMMERCE, CA 90040
Family Medicine
5211 E WASHINGTON BLVD, SUITE 18
COMMERCE, CA 90040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Roque's NPI number?

The NPI number for Charles Roque is 1164746871. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Where is Charles Roque located?

Charles Roque practices at 5211 E Washington Blvd Ste 18, Commerce, CA 90040. The listed phone number is (323) 980-9825.

What is Charles Roque's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Charles Roque enrolled in Medicare?

Yes. Charles Roque is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Roque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Roque reassigns Medicare benefits to Southern California Permanente Medical Group (Pico Rivera, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Roque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Roque was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.