Individual provider Active NPI

Paul J Glodzik, DC

  • Chiropractor
  • Washington, DC
National Provider Identifier
1205091964
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH030084 Issued in DC
Practice address
3333 Connecticut Ave NW
Washington, DC 20008-1305
Phone
(202) 966-0473
Fax
(202) 537-7131
NPI assigned
Jul 22, 2008
Last updated
Aug 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH030084 DC Primary
Chiropractor 111N00000X 03559 MD

Addresses

Primary practice location

3333 Connecticut Ave NW
Washington, DC 20008-1305

Mailing address

3333 Connecticut Ave NW
Washington, DC 20008-1305
Phone (202) 966-0473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080925000390 DC Practitioner - Chiropractic 0244307759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Rxwellness Spine and Health - Vienna LLCGroup PAC ID 0941692305, 5 clinicians

Practice addresses (Care Compare)

360 Maple Ave W
Suite B
Vienna, VA 22180-5614
Phone (703) 904-9666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH030084DCMDChiropractor
03559MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rxwellness Spine & Health - Arlington LLC Chiropractor CurrentSince Apr 1, 2026 Accepting new patients
Rxwellness Spine & Health - Vienna LLC Chiropractor CurrentSince Apr 22, 2025 Accepting new patients
You Can Be Fit, Inc Past Accepting new patients

Locations

932 N Highland St
Ste A
Arlington, VA 22201
Phone (571) 348-1541

950 Herndon Pkwy
Ste 130
Herndon, VA 20170
Phone (703) 272-5402

360 Maple Ave W
Vienna, VA 22180
Phone (703) 255-3334

360 Maple Ave W
Ste B
Vienna, VA 22180
Phone (434) 989-4901

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1205091964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081305",
            "telephone_number": "202-966-0473",
            "fax_number": "202-537-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081305",
            "telephone_number": "202-966-0473",
            "fax_number": "202-537-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLODZIK",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH030084",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.