Carly Glaeser

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5600 Norwich Pkwy
Stillwater, MN 55082-6482

Phone

(651) 430-7222

NPI assigned

Oct 24, 2016

Last updated

Aug 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cglaeser207061@excellian.direct.allina.com

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1720539885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5558 NOVAK AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822132",
            "telephone_number": "651-468-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 NORWICH PKWY",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826482",
            "telephone_number": "651-430-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 Curve Crest Blvd W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826070",
            "country_code": "US",
            "telephone_number": "651-468-5584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAESER",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9979",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail M Ghere, PT
• Aaron Wade Gibson
• Natalie F Gillund, SLP
• Stephanie Oreen Gilquist, LADC
• Kristi Ann Gingras, CST
• Mara Glantz
• Kim Marie Gleich, MA, LP
• Margaret Elizabeth Glennon, PA-C
• Adam D Goddard, D.O.
• Cynthia G. Goetz, PA-C

• Physical Therapist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.