Charleson Prince Godio Agustin, DPT, CMT, CSCS
NPI 1447999388ActiveIndividual· Physical Therapist· Westminster, CA
Physical Therapist (DPT, CMT, CSCS) with Star Physical Therapy, practicing in Westminster, California. Medicare paid $5,233 for services to 13 patients in 2024.
Overview
| NPI | 1447999388 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, CMT, CSCS |
| Sole proprietor | Yes |
| NPI issued | May 31, 2022 |
| Last updated in NPPES | Sep 7, 2022 |
| Certified by provider | Sep 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Massage Therapist | 225700000X | 79389 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 233 across 6 procedure codes |
| Paid by Medicare | $5,233 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Star Physical TherapyRedwood City, CA · 7 clinicians
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