Individual provider Active NPI

Eli Glick, PT

  • Orthopedic Physical Therapist
  • Lafayette Hill, PA
National Provider Identifier
1447210497
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-005296-L Issued in PA
Practice address
7 Whitefield Dr
Lafayette Hill, PA 19444-1648
Phone
(215) 681-4047
Fax
(215) 233-1172
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT-005296L PA
Orthopedic Physical Therapist 2251X0800X PT-005296-L PA Primary

Addresses

Primary practice location

7 Whitefield Dr
Lafayette Hill, PA 19444-1648

Mailing address

7 Whitefield Dr
Lafayette Hill, PA 19444-1648
Phone (215) 681-4047

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
PT-005296LPAMDSports Physical Therapist
PT-005296-LPAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Sports PastSince Jun 22, 2020 Accepting new patients
Wallace & Nilan Physical Therapy and Fitness, LLC Sports PastSince May 21, 2011 Accepting new patients

Organizations & group practices 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1447210497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WHITEFIELD DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441648",
            "telephone_number": "215-681-4047",
            "fax_number": "215-233-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WHITEFIELD DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441648",
            "telephone_number": "215-681-4047",
            "fax_number": "215-233-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "ELI",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT-005296L",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT-005296-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.