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

Individual provider Physical Therapist · NPI 1225728041

Charmil Desai, DPT is a Physical Therapist in Private Practice in Lincoln Park, New Jersey. Qualified in 2022, 4 years ago. Practices with Proform Physical Therapy LLC, a 19-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2023
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

212 Main St Ste B
Lincoln Park, NJ 07035-1786
Phone: (973) 696-2999
Fax: (973) 696-3030
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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 40QA02169500 (NJ)

Record details

NPI number1225728041
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing addressPo Box 1014, Clark, NJ 07066-1014

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 Proform Physical Therapy Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lincoln Park