Active NPI
Carrie L Glaza, PT
- Physical Therapist
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070006282
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568150 | Other | IL | MEDICARE GROUP NUMBER |
| 1619908 | Other | IL | BCBS IL GROUP NUMBER |
| 1623066 | Other | IL | BCBS PROVIDER NUMBER |
| 367885100 | Other | IL | US DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
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 100
- Quality
- 65.59
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 68.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070006282 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Orthopaedic Group S C | Current | Accepting new patients | |
| Parkview Orthopaedic Group S C | Current | Accepting new patients | |
| Parkview Orthopaedic Group S C | Current | 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
- 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.
-
- Specialist
- Palos Heights, IL
- NPI 1154350353
-
- Orthopaedic Surgery Physician
- New Lenox, IL
- NPI 1689269839
-
- Orthopaedic Surgery Physician
- Palos Heights, IL
- NPI 1740875012
-
- Specialist
- New Lenox, IL
- NPI 1407881469
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.