Glenn A Clearie, DC
Individual provider Active NPI Chiropractor · Wind Gap, PA
NPI 1164595724 · NPPES record last updated Oct 22, 2021
Key facts
- NPI
- 1164595724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC007169L (PA)
- Practice address
- 217 E Moorestown Rd Ste a
Wind Gap, PA 18091-9723 - Phone
- (610) 365-8488
- Fax
- (610) 365-8485
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northampton Chiropractic Center Inc
Practice addresses (Care Compare)
217 E Moorestown Rd
Suite a
Wind Gap, PA 18091-9723
Phone (610) 365-8488
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050512000057 | PA | Practitioner - Chiropractic | 0042268476 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007169L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physical Therapy LLC | Current | Accepting new patients |
Locations
217 E Moorestown Rd
Wind Gap, PA 18091
Phone (610) 365-2537
217 E Moorestown Rd
Ste A
Wind Gap, PA 18091
Phone (610) 365-8488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007169L | PA | Yes |
Addresses
Primary practice location
217 E Moorestown Rd Ste a
Wind Gap, PA 18091-9723
Mailing address
217 E Moorestown Rd Ste a
Wind Gap, PA 18091-9723
Phone (610) 365-8488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL510088 | Other | HIGHMARK | |
| 01881501 | Other | CAPITAL |
Other providers in Wind Gap, PA
- Wayne J Brotzman Jr.
- Christian John Bryson
- Thomas A Caracio
- Joseph E Cesanek
- CHS Professional Practice, P.C.
- Christopher Peter Collins
- Colonial Intermediate Unit 20
- Community Care Physical Therapy LLC
- Albert B Defranco
- Ligia Emilia Delorme
All providers in Wind Gap, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2021. 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.