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

Charlie Coenen

Individual provider Physical Therapist · NPI 1407696677

Charlie Coenen is a Physical Therapist in Private Practice in Fox Point, Wisconsin. Qualified in 2024, 2 years ago. Practices with Freedom Physical Therapy Services SC, a 29-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

6908 N Santa Monica Blvd
Fox Point, WI 53217-3942
Phone: (414) 352-2082
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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 16719-24 (WI)

Record details

NPI number1407696677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 27, 2024
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024
Mailing address2950 Clearwater Ln Apt 204, Waukesha, WI 53189-6895

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Freedom Physical Therapy Services Sc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fox Point