Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Alden Barstow Jr., MPT, OCS, COMT, CSCS

Individual provider Physical Therapist · NPI 1366593246

Charles Alden Barstow Jr., MPT, OCS, COMT, CSCS is a Physical Therapist in Private Practice in Pismo Beach, California. Graduated from Loma Linda University School of Medicine in 1997, 29 years ago. Practices with Physical Therapy Specialists Pts Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

271 Five Cities Dr
Pismo Beach, CA 93449-3009
Phone: (805) 473-7499
Fax: (805) 473-7494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT22679 (CA)

Record details

NPI number1366593246
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , OCS , COMT , CSCS
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESMay 31, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Physical Therapy Specialists Pts Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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