Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Justin Wood

Individual provider Physical Therapist · NPI 1023614401

Charles Justin Wood is a Physical Therapist in Private Practice in Waterloo, Illinois. Qualified in 2020, 6 years ago. Practices with Mcm Rehabilitation LLC, a 57-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020

Practice location Address checks out

509 Hamacher St Ste 101
Waterloo, IL 62298-1592
Phone: (618) 939-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1023614401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice McM Rehabilitation Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waterloo