CHARLES N DECLEENE PT
NPI 1326002148
Physical Therapist in Green Bay, WI

Active since April 17, 2006Accepts Medicare Assignment
1970 S RIDGE RD, GREEN BAY, WI 54304(920) 430-4888(920) 430-4889 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2023, Jul 13, 2020, Mar 22, 2018 (3 updates tracked since 2018).

About Charles N Decleene Pt NPPES

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

CHARLES N DECLEENE PT (NPI 1326002148) is an individual physical therapist in Green Bay, Wisconsin, licensed in Wisconsin (10376-24) and active in the NPI registry since April 2006. He maintains 2 additional practice locations and is a graduate of Other (2004).

NPPES Registry Identity

NPI1326002148
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCHARLES N DECLEENECredential: PT
Location Address1970 S RIDGE RDGreen Bay, WI 54304-4125
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Fax(920) 430-4889
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 17, 2006
Last NPPES UpdateFebruary 3, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
NPI 1326002148 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 · 10376-24
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.
1970 S RIDGE RD, Green Bay, WI 54304

Secondary Practice Locations 2

Location 1575 4th StKewaunee, WI 54216-1785 · Phone (920) 388-4640
Location 2555 Redbird CirDE Pere, WI 54115-7977 · Phone (920) 338-6870 · Fax (920) 338-6879

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

Charles N Decleene 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 ID2365457538
PECOS Enrollment IDI20060208000732

Areas of Expertise CMS Part B claims 2

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 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.
369 services26 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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 20

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

Physician Assistant
1970 S RIDGE RD
GREEN BAY, WI 54304
Specialist/Technologist (Athletic Trainer)
1970 S RIDGE RD
GREEN BAY, WI 54304
Physician Assistant
1970 S RIDGE RD
GREEN BAY, WI 54304
Specialist/Technologist (Athletic Trainer)
1970 S RIDGE RD
GREEN BAY, WI 54304
Specialist/Technologist (Athletic Trainer)
1970 S RIDGE RD
GREEN BAY, WI 54304
Orthopaedic Surgery (Hand Surgery)
1970 S RIDGE RD
GREEN BAY, WI 54304
Physician Assistant
1970 S RIDGE RD
GREEN BAY, WI 54304
Physical Therapist
1970 S RIDGE RD
GREEN BAY, WI 54304

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 Decleene's NPI number?

The NPI number for Charles Decleene is 1326002148. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Charles Decleene located?

Charles Decleene practices at 1970 S Ridge Rd, Green Bay, WI 54304. The listed phone number is (920) 430-4888.

What is Charles Decleene's specialty?

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

Is Charles Decleene enrolled in Medicare?

Yes. Charles Decleene 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 Charles Decleene accept?

Health plans from CareSource (Common Ground Healthcare) list Charles Decleene 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 Decleene was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.