Peggy Blake Gleeson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1019933 Issued in TX

Practice address

6700 Fannin St
Suite 7039
Houston, TX 77030-2343

Phone

(713) 794-2079

Fax

(713) 794-2071

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679601538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12009 NAUGHTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246246",
            "telephone_number": "713-794-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 FANNIN ST",
            "address_2": "SUITE 7039",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302343",
            "telephone_number": "713-794-2079",
            "fax_number": "713-794-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEESON",
        "first_name": "PEGGY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1019933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paityn T Glaze, PHARMD
• Gary Lamont Glazebrook Jr., PHARM. D
• Melanie Gleason, LCSW-S
• Michael William Gleason, MD
• Wallace A Gleason, M.D.
• Glen L Bruenjes DDS PLLC
• Glencris Construction Inc.
• Glenn L. Morgan M.D.,PA
• Alexandra Glenn, LPC, LCDC
• Chelsea Glenn

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.