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

Charmaine Tarca Geronimo

Individual provider Physical Therapist · NPI 1104532977

Charmaine Tarca Geronimo is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2019, 7 years ago. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

2918 Avenue M
Brooklyn, NY 11210-4617
Phone: (718) 252-0625
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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 041826-01 (NY)

Record details

NPI number1104532977
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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