Physical Therapist
TYEE CHARLTON PT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417395906 · enumerated 2013-06-06 · record updated 2026-05-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI, 49546-2395 Google Maps Apple Maps OpenStreetMap
- Practice location 1651 BOTELHO DR STE 150, WALNUT CREEK, CA, 94596-5068 (925) 386-5657 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · License PT60698384 WA
- Physical Therapist 225100000X · Primary · License 310033 CA
- Physical Therapist 225100000X · License 2821 NV
In this directory
Locations and evidence
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Practice location
WALNUT CREEK, CA, 945965068
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.