Glynn Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11353 Issued in MA

Legal business name

GLYNN PHYSICAL THERAPY LLC

Practice address

76 Bedford St Ste 7
Lexington, MA 02420-4640

Phone

(781) 862-0200

Fax

(781) 862-0600

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Paul Eugene Glynn, PTNPI 1982819967

Title

President/Owner

Phone

(781) 862-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Eugene Glynn, PT, DPT, OCS,FAAOMPT

  • Orthopedic Physical Therapist
  • Lexington, MA
  • NPI 1982819967
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641081600000",
    "number": "1588020556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 7",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204640",
            "telephone_number": "781-862-0200",
            "fax_number": "781-862-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 7",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204640",
            "telephone_number": "781-862-0200",
            "fax_number": "781-862-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "781-862-0200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "11353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "S100276997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Gintz, MA
• Gia Giordano
• Galina Gitlin, DMD
• Bridget Elizabeth Glenshaw, MA
• Beth Snider Glick, LICSW
• Paul Eugene Glynn, PT, DPT, OCS,FAAOMPT
• Laura Marie Goehner, CF-SLP
• Kimberly Goffin
• Barbara Gold, RD
• Ilan Philip Goldberg, M.D.

• Physical Therapy Clinic/Center in Lexington, MA
• Providers in Lexington, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.