Michelle Stacey Gluck, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8115 Issued in FL

Practice address

6141 NW 58TH Way
Parkland, FL 33067-4441

Phone

(954) 663-1539

Fax

(954) 255-0665

NPI assigned

Feb 25, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• One on One in Home Physical Therapy-Inc

  • Physical Therapy Clinic/Center
  • Parkland, FL
  • NPI 1093901787
  Medicare reassignment NPD Authorized official
• Complete Rehab Solutions, Inc.

  • Geriatric Physical Therapist
  • Coral Springs, FL
  • NPI 1780747410
  NPD (past)
• In Home Physical Therapy

  • Physical Therapy Clinic/Center
  • Parkland, FL
  • NPI 1497941272

  Physical Therapist

  NPD (past)
• Physical Therapy in Your Home Inc

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1356353437
  NPD (past)
• Trinity 5 Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1326665084
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275669384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 NW 58TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674441",
            "telephone_number": "954-663-1539",
            "fax_number": "954-255-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 NW 58TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674441",
            "telephone_number": "954-663-1539",
            "fax_number": "954-255-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "MICHELLE",
        "middle_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilana Rachel Gersowsky, DO
• Gibbs Research Institute for Children, Inc
• Sasha Gibbs, LMHC
• Lorraine Marie Gilbert, M.S.
• Giselle Leibovitch, PHD, LLC
• Stanley Bruce Goldman, PHARMACIST
• Jennifer Gonzalez Llanes
• Jaqueline Gonzalez, LMFT
• Maria F Gonzalez
• Janet Gordon-Slakoff, LCSW

• Physical Therapist in Parkland, FL
• Providers in Parkland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.