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CHARLES CARTER PT
NPI 1255740866
Physical Therapist in Kennewick, WA

Active since August 07, 2014Accepts Medicare Assignment
4303 W 27TH AVE STE C, KENNEWICK, WA 99338(509) 783-5644(509) 783-5755 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles Carter Pt NPPES

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

CHARLES CARTER PT (NPI 1255740866) is an individual physical therapist in Kennewick, Washington, licensed in Washington (PT60474879) and active in the NPI registry since August 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1255740866
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCHARLES CARTERCredential: PT
Location Address4303 W 27TH AVE STE CKennewick, WA 99338-1986
Mailing Address16083 Sw Upper Boones Ferry Rd Ste 300Tigard, OR 97224-7736 · (800) 219-8835 · Fax (503) 639-9699
Phone(509) 783-5644
Fax(509) 783-5755
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 7, 2014
Last NPPES UpdateDecember 15, 2014
✔ NPI 1255740866 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
Licenses✔ Licensed in WA · PT60474879✔ Licensed in OR · 60474879
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.
4303 W 27TH AVE STE C, Kennewick, WA 99338
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Other Identifiers 4

Other0329549WA · Wa L&i
Medicaid2038541WA
Other0329551WA · Wa L&i
Medicare PING8933527WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Carter 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 ID1951522879
PECOS Enrollment IDI20151031000010

Medicare Billing Reassignments

3

Medicare enrollment records show Charles Carter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bbpt Inc
314 mi
Physical Therapist
423 IDAHO ST STE A
Gooding, ID 83330
  • Reassigned Medicare billing, Idaho enrollment
  • 8 clinicians in this Medicare group
NPI 1811951841 (208) 934-9011
Lon M. Egbert, P.C.
332 mi
Physical Therapist
128 5TH AVE WEST
Jerome, ID 83338
  • Reassigned Medicare billing, Idaho enrollment
  • 4 clinicians in this Medicare group
NPI 1265527725 (208) 324-3090
Bodybalance Pt Twin Falls LLC
342 mi
Physical Therapy
657 BLUE LAKES BLVD N
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • 8 clinicians in this Medicare group
NPI 1043657828 (208) 934-9011

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

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.
2,796 services99 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.
1,117 services94 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.
1,031 services94 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
197 services50 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.
113 services42 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.
69 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99338 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%30 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Carter's NPI number?

The NPI number for Charles Carter is 1255740866. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Charles Carter located?

Charles Carter practices at 4303 W 27th Ave Ste C, Kennewick, WA 99338. The listed phone number is (509) 783-5644.

What is Charles Carter's specialty?

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

Is Charles Carter enrolled in Medicare?

Yes. Charles Carter 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.

Which organizations bill Medicare for Charles Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Carter reassigns Medicare benefits to 3 organizations: Bbpt Inc (Gooding, ID), Lon M. Egbert, P.C. (Jerome, ID) and Bodybalance Pt Twin Falls LLC (Twin Falls, ID). Each 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 Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Carter accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Charles Carter 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 Charles Carter was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.