Individual provider Active NPI

Paul Glatt, PT, DPT

  • Physical Therapist
  • Minnetonka, MN
National Provider Identifier
1437559374
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9670 Issued in MN
Practice address
15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Phone
(952) 935-4037
Fax
(952) 908-0361
NPI assigned
Aug 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9670 MN Primary

Addresses

Primary practice location

15000 Minnetonka Blvd
Minnetonka, MN 55345-1506

Mailing address

15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Phone (952) 935-4037

Other names 1

  • Paulie Glatt Other name

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

State licenses

LicenseStateTypeSpecialty
9670MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners Inc Physical Therapist PastSince Aug 24, 2015 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.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1437559374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 MINNETONKA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451506",
            "telephone_number": "952-935-4037",
            "fax_number": "952-908-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 MINNETONKA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451506",
            "telephone_number": "952-935-4037",
            "fax_number": "952-908-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATT",
        "first_name": "PAUL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULIE",
            "last_name": "GLATT",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.