Active NPI
Caitlin Glenn
- Physical Therapist
- Austintown, OH
National Provider Identifier
1184033599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015001
- Practice address
- 1450 South Canfield-Niles Road
Austintown, OH 44515-1547 - Phone
- (330) 429-4429
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015001 | OH | Primary |
Addresses
Primary practice location
1450 South Canfield-Niles Road
Austintown, OH 44515-1547
Mailing address
37574 Miller Road
Lisbon, OH 44432
Phone (330) 429-4429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crew Racing, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Youngstown, OH
- NPI 1619528767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1184033599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37574 MILLER ROAD",
"city": "LISBON",
"state": "OH",
"postal_code": "44432",
"telephone_number": "330-429-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SOUTH CANFIELD-NILES ROAD",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "445151547",
"telephone_number": "330-429-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "015001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austintown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.