Charles Joseph McGlashen, DPT
Individual provider Active NPI Physical Therapist · Broomfield, CO
NPI 1053945857 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1053945857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 18280 (CO)
- Practice address
- 13606 Xavier LN Ste C
Broomfield, CO 80023-3604 - Phone
- (303) 404-9494
- Fax
- (303) 404-2252
- NPI assigned
- Mar 2, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boulder Community Health
Practice addresses (Care Compare)
2150 Stadium Dr
Boulder, CO 80309-0001
Phone (303) 315-9900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200323003156 | TX | Practitioner - Physical Therapist in Private Practice | 4486082500 | Reassigns benefits to 1 organization |
| I20220428002664 | CO | Practitioner - Physical Therapist in Private Practice | 4486082500 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current |
Accepting new patients | |
| Panorama Orthopedics and Spine Center PC | Current | Accepting new patients | |
| Panorama Orthopedics & Spine Center, PC | Current |
Accepting new patients | |
| Panorama Orthopedics & Spine Center, PC | Current |
Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current |
Accepting new patients | |
| Agilitas USA Inc | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
| Boulder Community Health | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
15530 W 64th Ave
Unit E
Arvada, CO 80007
Phone (303) 424-4589
2150 Stadium Dr
Fl 2
Boulder, CO 80309
Phone (303) 315-9900
1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450
2150 Stadium Dr
Boulder, CO 80309
Phone (303) 315-9900
660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321
13606 Xavier Ln
Ste C
Thornton, CO 80023
Phone (303) 404-2252
800 Crescent Centre Dr
Ste 300
Franklin, TN 37067
1600 W 38th St
Ste 132
Austin, TX 78731
Phone (512) 348-2515
1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032
10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175
455 University Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 766-2171
2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734
5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1328562 | TX | |
| Physical Therapist | 225100000X | 18280 | CO | Yes |
Addresses
Primary practice location
13606 Xavier LN Ste C
Broomfield, CO 80023-3604
Mailing address
13606 Xavier LN Ste C
Broomfield, CO 80023-3604
Phone (303) 404-9494
Other practice location 1
1600 W 38th St Ste 132
Austin, TX 78731-6404
Phone (512) 348-2515
Other practice location 2
455 University Blvd Ste 400
Round Rock, TX 78665-1076
Phone (512) 766-2171
Other names
- Charlie McGlashen
NPI Registry JSON
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1053945857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13606 XAVIER LN STE C",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800233604",
"telephone_number": "303-404-9494",
"fax_number": "303-404-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13606 XAVIER LN STE C",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800233604",
"telephone_number": "303-404-9494",
"fax_number": "303-404-2252"
}
],
"practiceLocations": [
{
"address_1": "1600 W 38th St Ste 132",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787316404",
"country_code": "US",
"telephone_number": "512-348-2515",
"fax_number": "512-961-8889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 University Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786651076",
"country_code": "US",
"telephone_number": "512-766-2171",
"fax_number": "512-766-2172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGLASHEN",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-02",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1328562",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "18280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLIE",
"last_name": "MCGLASHEN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Broomfield, CO
- Justin Howard McCarthy
- Benjamin Clayton McCoy
- Sydney McCoy
- Tonja L McCoy
- Carol McDonald
- George Damien McGoff
- Holland McGuire
- Patricia McHardy
- Marcella Stephanie McIntire
- Beth M McMillan
All providers in Broomfield, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.