Individual provider Active NPI

Glenn C Coros, PT

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1659577435
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21911 Issued in MD
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

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
RehabneedsGroup PAC ID 6507017712, 10 clinicians

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 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002034DEMDPhysical Therapist
21911MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 1, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince Aug 1, 2024 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 CurrentSince Oct 21, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 1, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.