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

Charlotte Giovanna Ennis, DPT

Individual provider Physical Therapist · NPI 1386352656

Charlotte Giovanna Ennis, DPT is a Physical Therapist in Private Practice in Manlius, New York. Qualified in 2022, 4 years ago. Practices with Sports Physical Therapy of New York, PC, a 84-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

240 W Seneca St
Manlius, NY 13104-3401
Phone: (315) 682-0325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1386352656
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sports Physical Therapy Of New York, P.C. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manlius