Active NPI
Glenn C Coros, PT
- Physical Therapist
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21911
- Practice address
- 2021A Emmorton Rd
Suite 110
Bel Air, MD 21015-8962 - Phone
- (410) 515-0006
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0002034 | DE | |
| Physical Therapist | 225100000X | 21911 | MD | Primary |
Addresses
Primary practice location
2021A Emmorton Rd
Suite 110
Bel Air, MD 21015-8962
Mailing address
126 McClellan Dr
Frederick, MD 21702-5502
Phone (301) 663-7826
Other practice location 1
6707 Democracy Blvd Ste 504
Bethesda, MD 20817-1166
Phone (301) 637-8712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200922002773 | DC | Practitioner - Physical Therapist in Private Practice | 0648698720 | Reassigns benefits to 2 organizations |
| I20240821003598 | MD | Practitioner - Physical Therapist in Private Practice | 0648698720 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabneeds
Practice addresses (Care Compare)
2401 Research Blvd
Suite 101
Rockville, MD 20850-3215
Phone (240) 480-4553
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 86.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002034 | DE | MD | Physical Therapist |
| 21911 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Rehabneeds | Physical Therapist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients |
Locations
6707 Democracy Blvd
Ste 504
Bethesda, MD 20817
Phone (301) 637-8712
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500
2401 Research Blvd
Ste 101
Rockville, MD 20850
Phone (240) 480-4553
Interoperability endpoints
- https://api.platform.athenahealth.com/11237/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Manassas, VA
- NPI 1265871958
DC, Physical Therapist
-
- Orthopaedic Surgery Physician
- Prince Frederick, MD
- NPI 1710455894
-
- Physical Therapist
- Marriottsville, MD
- NPI 1760158612
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1659577435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MCCLELLAN DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217025502",
"telephone_number": "301-663-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021A EMMORTON RD",
"address_2": "SUITE 110",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210158962",
"telephone_number": "410-515-0006"
}
],
"practiceLocations": [
{
"address_1": "6707 Democracy Blvd Ste 504",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208171166",
"country_code": "US",
"telephone_number": "301-637-8712",
"fax_number": "301-547-3366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COROS",
"first_name": "GLENN",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002034",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.