JEROME G. CHARLES PT
NPI 1225057912
Physical Therapist in Green Bay, WI

Active since July 19, 2006Accepts Medicare Assignment
211 N BROADWAY STE 105, GREEN BAY, WI 54303(920) 432-9040(920) 432-9053 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerome G. Charles Pt NPPES

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

JEROME G. CHARLES PT (NPI 1225057912) is an individual physical therapist in Green Bay, Wisconsin, licensed in Wisconsin (2921-024) and active in the NPI registry since July 2006. He is a graduate of Other (1984).

NPPES Registry Identity

NPI1225057912
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJEROME G. CHARLESCredential: PT
Location Address211 N BROADWAY STE 105Green Bay, WI 54303-2757
Mailing Address4000 N Providence AveAppleton, WI 54913-8018 · (920) 257-2005 · Fax (920) 257-2004
Fax(920) 432-9053
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 19, 2006
Last NPPES UpdateJune 25, 2013
NPI 1225057912 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 WI · 2921-024
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.
211 N BROADWAY STE 105, Green Bay, WI 54303

Other Identifiers 9

Other001686030WI · Medicare
Other000486021WI · Medicare
Other115015WI · Security Health Plan
Other650018183WI · Railroad Medicare
Medicare UPINS85211WI
Medicaid40309000WI
Other650025343Railroad Medicare
Medicare ID-Type Unspecified000686035WI
Medicare ID-Type Unspecified000786519WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerome G. Charles Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628088549
PECOS Enrollment IDI20060421000320

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
770 services96 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
479 services85 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
436 services86 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
48 services23 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
44 services43 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
211 N BROADWAY STE 105
GREEN BAY, WI 54303
Physical Therapist
211 N BROADWAY STE 105
GREEN BAY, WI 54303

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 Jerome Charles's NPI number?

The NPI number for Jerome Charles is 1225057912. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jerome Charles located?

Jerome Charles practices at 211 N Broadway Ste 105, Green Bay, WI 54303. The listed phone number is (920) 432-9040.

What is Jerome Charles's specialty?

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

Is Jerome Charles enrolled in Medicare?

Yes. Jerome Charles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jerome Charles accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and Security Health Plan list Jerome Charles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerome Charles was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.