Kevin Glynn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

130654 Issued in AK

Practice address

2221 E Northern Lights Blvd Ste 106
Anchorage, AK 99508-4140

Phone

(907) 748-0022

Fax

(907) 277-0022

NPI assigned

Jul 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Physical TherapyGroup PAC ID 2668861931, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Progressive Physical Therapy

  • Physical Therapist
  • Anchorage, AK
  • NPI 1780901793
  Medicare reassignment Care Compare group NPD
• Cable & McCormick Apc

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1649275389
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1447736103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 K ST STE D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013318",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 E NORTHERN LIGHTS BLVD STE 106",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084140",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Lake Otis Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085230",
            "country_code": "US",
            "telephone_number": "907-563-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "130654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1736805",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Francis Glifort, M.D., M.P.H.
• Karl Glore
• Gloria'S Golden Heart Assisted Living, LLC
• Steven Isaac Glover
• Jeneen Glroia Kevcey
• Christopher Gobah
• Alice Gobeli, LMT
• Darion Gobert
• Anna(Pili) Goddard-Vaughan, LMT, CAMT
• John C Godersky, MD

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.