Taryn Ann Glynn, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28317 Issued in FL

Practice address

5030 Champion Blvd Ste D9
Boca Raton, FL 33496-2497

Phone

(561) 432-0111

Fax

(561) 432-1075

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gold Coast Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • Lake Worth, FL
  • NPI 1114026523

  Physical Therapist

  NPD (past)
• Gold Coast Physical Therapy Associates, LLC

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1609205673
  NPD (past)

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1164073433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD STE D9",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962497",
            "telephone_number": "561-331-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD STE D9",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962497",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "TARYN",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glowu Holdings
• Glu 1 LLC
• Jenna Gluski
• Glutality Provider Group, P.a.
• Sherildan Glynn, ARNP
• Tamara Lee Gmitter, M.D.
• Melanie Sara Gnaizda-Gilson
• Goal Behavior Inc
• Geffen Godder, PH.D.
• Luciana Marega Godoi, RD

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.