Individual provider Active NPI

Carrie Deluca Glahn, DPT

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1548676174
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08394 Issued in LA
Practice address
2033 N Highway 190 Ste 10
Covington, LA 70433-8985
Phone
(985) 590-4549
NPI assigned
Jul 2, 2014
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 08394 LA Primary

Addresses

Primary practice location

2033 N Highway 190 Ste 10
Covington, LA 70433-8985

Mailing address

2033 N Highway 190 Ste 10
Covington, LA 70433-8985
Phone (985) 792-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523002903 LA Practitioner - Physical Therapist in Private Practice 6709228638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Suit Therapy and Fitness, LLCGroup PAC ID 3375695752, 4 clinicians

Practice addresses (Care Compare)

70493 Hwy 21
Suite 600
Covington, LA 70433-7018
Phone (985) 792-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08394LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapy Clinics of Louisiana Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Innovative Suit Therapy and Fitness, LLC CurrentSince Jul 25, 2024 Accepting new patients
Riverbend Physical Therapy, LLC Physical Therapist PastSince Apr 1, 2024 Accepting new patients

Locations

2033 N Highway 190
Ste 10
Covington, LA 70433
Phone (985) 590-4549

70493 Highway 21
Ste 600
Covington, LA 70433
Phone (985) 317-3335

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1548676174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 N HIGHWAY 190 STE 10",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338985",
            "telephone_number": "985-792-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 N HIGHWAY 190 STE 10",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338985",
            "telephone_number": "985-590-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA GLAHN",
        "first_name": "CARRIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.