Glowill Pambid

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016109 Issued in MI

Practice address

1411 3Rd St
Port Huron, MI 48060-5480

Phone

(800) 451-0481

NPI assigned

May 10, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1043579055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 LOUELLA DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294124",
            "telephone_number": "248-238-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 3RD ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605480",
            "telephone_number": "800-451-0481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4067 Louella Dr",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483294124",
            "country_code": "US",
            "telephone_number": "248-238-6279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMBID",
        "first_name": "GLOWILL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043579055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Owens, RPH
• Cortney Layne Paddock, LMSW
• Sreedhar Paknikar, M.D.
• Norma Pakulski, LMT, LPN
• Skye L Paling, LLBSW
• Heather Panczyk
• Kevin R Papenfus
• Virender D Parekh, MD
• Vrajmohan C Parikh, MD
• Joel Edward Parker

• Physical Therapist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.