DR. CHARLES AGBONGHAE PT
NPI 1366006728
Physical Therapist in Waco, TX
About Dr. Charles Agbonghae Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLES AGBONGHAE PT (NPI 1366006728) is an individual physical therapist in Waco, Texas, licensed in Texas (1203007) and active in the NPI registry since April 2019.
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Charles Agbonghae Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charles Agbonghae reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tsaile, AZ 86556
- Reassigned Medicare billing, Texas enrollment
- 476 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Agbonghae's NPI number?
The NPI number for Charles Agbonghae is 1366006728. It was assigned to this individual provider in the NPPES registry on April 30, 2019.
Where is Charles Agbonghae located?
Charles Agbonghae practices at 4800 Memorial Dr, Waco, TX 76711. The listed phone number is (254) 421-9364.
What is Charles Agbonghae's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Charles Agbonghae enrolled in Medicare?
Yes. Charles Agbonghae is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charles Agbonghae's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Agbonghae reassigns Medicare benefits to Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ). 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 Agbonghae'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 Agbonghae was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.