Individual provider Active NPI

Carrie L Glaza, PT

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1467484378
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070006282 Issued in IL
Practice address
4710 W 95TH St
Suite 1B
Oak Lawn, IL 60453-2546
Phone
(708) 529-0348
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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 070006282 IL Primary

Addresses

Primary practice location

4710 W 95TH St
Suite 1B
Oak Lawn, IL 60453-2546

Mailing address

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-3600

Other identifiers 4

IdentifierTypeStateIssuer
568150OtherILMEDICARE GROUP NUMBER
1619908OtherILBCBS IL GROUP NUMBER
1623066OtherILBCBS PROVIDER NUMBER
367885100OtherILUS DEPT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130808000450 IL Practitioner - Physical Therapist in Private Practice 4789826462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Orthopaedic Group S CGroup PAC ID 9335134691, 31 clinicians

Practice addresses (Care Compare)

688 Cedar Crossings Dr
New Lenox, IL 60451-5200
Phone (815) 727-3030

Merit-based Incentive Payment System (MIPS)

Final score
72.88 of 100Reported as group
Quality
65.59
Promoting interoperability
71
Improvement activities
40
Cost
68.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070006282ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Orthopaedic Group S C Current Accepting new patients
Parkview Orthopaedic Group S C CurrentSince Nov 5, 2012 Accepting new patients
Parkview Orthopaedic Group S C CurrentSince Nov 5, 2012 Accepting new patients
Parkview Orthopaedic Group S C Past Accepting new patients

Locations

10060 191st St
Mokena, IL 60448
Phone (708) 361-0600

688 Cedar Crossings Dr
New Lenox, IL 60451
Phone (815) 727-3030

4710 W 95th St
Ste B1
Oak Lawn, IL 60453
Phone (708) 361-0600

7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600

7600 W College Dr
Ste 3
Palos Heights, IL 60463
Phone (708) 361-0600

Interoperability endpoints

  • Direct secure messaging: carrie.glazapt.p1@direct.parkviewortho.nextgenshare.com

Organizations & group practices 4

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1467484378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 W 95TH ST",
            "address_2": "SUITE 1B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532546",
            "telephone_number": "708-529-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZA",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "568150",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL GROUP NUMBER",
            "identifier": "1619908",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1623066",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "367885100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.