GLYNN PHYSICAL THERAPY LLC (NPI# 1588020556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588020556 |
| Entity Type | Organization |
| Organization Name | GLYNN PHYSICAL THERAPY LLC |
| Practice Address |
114 Waltham St Suite G4 Lexington MA 02421-5415 |
| Practice Telephone | 7818620200 |
| Practice Fax Number | 7818620600 |
| Mailing Telephone | 7818620200 |
| Mailing Fax Number | 7818620600 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | PAUL EUGENE GLYNN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7818620200 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
11353 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | S100276997 | 01 |
| Street Address |
114 WALTHAM ST SUITE G4 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389116 | Judith Victoria Jordan | Psychologist | 114 Waltham St, Suite 17, Lexington, MA 02421-5415 | 2006-01-06 |
| 1952600827 | Center for Life Solutions, Inc. | Social Worker | 114 Waltham St, Suite 21, Lexington, MA 02421-5415 | 2011-03-17 |
| 1063660207 | Judith V Jordan,ph.d.,pc | Psychologist | 114 Waltham St, Suite 17, Lexington, MA 02421-5415 | 2008-08-29 |
| 1659571446 | Donna M Fagan-sturniolo | Technician/Technologist | 114 Waltham St, G-3, Lexington, MA 02421-5415 | 2007-07-20 |
| 1982819967 | Paul Eugene Glynn | Physical Therapist | 114 Waltham St, Suite G4, Lexington, MA 02421-5415 | 2007-05-11 |
| 1447478037 | Ann Marie Demeranville | Dentist | 114 Waltham St, Lexington, MA 02421-5415 | 2007-04-22 |
| 1730303926 | John F Ryan | Dentist | 114 Waltham St, Lexington, MA 02421-5415 | 2007-04-12 |
| 1376683177 | M. Carole Drago | Social Worker | 114 Waltham St, Lexington, Lexington, MA 02421-5415 | 2007-02-08 |
| 1346398476 | Susan K Harrington | Counselor | 114 Waltham St, Suite G2, Lexington, MA 02421-5415 | 2007-01-08 |
| 1164591210 | Barbara Lorrie Caust | Counselor | 114 Waltham St, Suite 10, Lexington, MA 02421-5415 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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|---|---|---|---|---|
| 1336755354 | Thrive Therapies Pllc | Clinic/Center | 1701 Nicholasville Rd Ste 200, Lexington, KY 40503-1459 | 2020-09-16 |
| 1689135758 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 700 Mason Headley Rd, Lexington, KY 40504-2326 | 2019-03-29 |
| 1083133185 | Osptky LLC | Clinic/Center | 230 W Main St Ste B, Lexington, KY 40507-1340 | 2017-09-11 |
| 1295258440 | Agilitas Usa, Inc | Clinic/Center | 1908 Bryant Rd Ste 150, Lexington, KY 40509-9448 | 2017-07-19 |
| 1952853533 | Roland Dela Cruz | Clinic/Center | 166 Deerwood Dr, Lexington, NC 27295-7544 | 2016-10-28 |
| 1619168879 | In Shape Physical Therapy & Wellness Center LLC | Clinic/Center | 5432a Augusta Rd., Lexington, SC 29072-3892 | 2007-08-05 |
| 1467490110 | Arc Therapy Services LLC | Clinic/Center | 3051 Rio Dosa Dr, Lexington, KY 40509-1545 | 2006-06-03 |
| 1932100971 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 3070 Lake Crest Circle, Suite 700, Lexington, KY 40513 | 2005-08-01 |
| 1568462596 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 4101 Tates Creek Center Drive, Lexington, KY 40517 | 2005-08-01 |
| 1548773666 | Physical Therapy Enterprises | Clinic/Center | 1096 Wellington Way Ste 110, Lexington, KY 40513-1200 | 2017-11-11 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.