Provider Demographics
NPI:1083667547
Name:CURTIS, CHARLES DENNISON (MS, PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DENNISON
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MS, PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ORCHARD PL
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1427
Mailing Address - Country:US
Mailing Address - Phone:732-345-5064
Mailing Address - Fax:732-345-5064
Practice Address - Street 1:33 ORCHARD PL
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1427
Practice Address - Country:US
Practice Address - Phone:732-345-5064
Practice Address - Fax:732-345-5064
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00440200225100000X, 2251E1200X, 2251G0304X, 2251P0200X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00777178OtherRRMCR
NJP00777178OtherRRMCR
NJ047900VFMMedicare PIN
NJ047900V2JMedicare PIN
NJ047900V2NMedicare PIN