Active NPI
Liam Emmett Davis Glowaski, DPT
- Physical Therapist
- Pottsville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 495 N Claude a Lord Blvd
Pottsville, PA 17901-2705 - Phone
- (570) 516-9858
- NPI assigned
- Jul 14, 2023
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
495 N Claude a Lord Blvd
Pottsville, PA 17901-2705
Mailing address
495 N Claude a Lord Blvd
Pottsville, PA 17901-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230827000038 | PA | Practitioner - Physical Therapist in Private Practice | 8628431418 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Medical Group P C
Practice addresses (Care Compare)
2211 Quarry Dr
Suite E55
Reading, PA 19609-1161
Phone (570) 516-9858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Group, P.C. | Current | Accepting new patients | |
| Integrated Medical Group P C | Current | Accepting new patients | |
| Img PT | Physical Therapist | Past | Accepting new patients |
Locations
495 N Claude a Lord Blvd
Pottsville, PA 17901
Phone (570) 516-9858
82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455
48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555
420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000
2211 Quarry Dr
Ste E55
West Lawn, PA 19609
Phone (570) 516-9858
Interoperability endpoints
- lglowaski@imgpc.medentdirect.com
Organizations & group practices 5
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Reading, PA
- NPI 1881341303
-
- Podiatrist
- Pottsville, PA
- NPI 1053695148
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Pottsville, PA
- NPI 1700381076
-
- Physical Therapist
- Fleetwood, PA
- NPI 1427290394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1407535644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 N CLAUDE A LORD BLVD",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179012705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 N CLAUDE A LORD BLVD",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179012705",
"telephone_number": "570-516-9858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOWASKI",
"first_name": "LIAM",
"middle_name": "EMMETT DAVIS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.