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

Charlon Dela Cruz

Individual provider Physical Therapist · NPI 1396224234

Charlon Dela Cruz is a Physical Therapist in Private Practice in Coral Springs, Florida. Qualified in 2021, 5 years ago. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2018

Practice location Address checks out

12218 W Sample Rd
Coral Springs, FL 33065-4223
Phone: (954) 913-2962
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1309306 (TX)

Record details

NPI number1396224234
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2018
Last updated in NPPESAugust 10, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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