NPivot
Charles Andrade is one of 297 physical therapists practicing in Southlake, Texas .
Charles Andrade practices with Athletico Ltd.
Registry record (NPPES)
NPI
1285344325
Type
Type 1 · Individual
Primary taxonomy
Physical Therapist · 225100000X
Address on file
1065 E Tucson Marketplace Blvd Ste 155 Tucson, AZ 85713-6563 (520) 822-8640
Enumerated
Nov 30, 2022
Record last updated
Sep 4, 2023
Medicare (CMS)
Enrollment
Medicare-enrolled in AZ, CA, TXPhysical Therapist in Private Practice
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
480 W Southlake Blvd Suite 111
Southlake , TX 76092
(817) 778-9910
More physical therapists in Southlake
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.