Glackin Physiotherapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

25821 Issued in MD

Legal business name

GLACKIN PHYSIOTHERAPY, LLC

Practice address

9159 Red Branch Rd Ste B
Columbia, MD 21045-2041

Phone

(301) 887-5689

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Brendan Thomas Glackin, DPT

Title

Physical Therapist

Phone

(908) 328-3074

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 5

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

• Jonathan J Roca, PHYSICAL THERAPIST

  • Physical Therapist
  • Towson, MD
  • NPI 1255452637
  Medicare reassignment NPD
• Daniel Bennett

  • Physical Therapist
  • Columbia, MD
  • NPI 1073925954
  Medicare reassignment
• Emily Jane Lyons Selby, PT, DPT

  • Physical Therapist
  • Columbia, MD
  • NPI 1174903132
  Medicare reassignment
• Sarah Johnson

  • Physical Therapist
  • Bear, DE
  • NPI 1710339742

  MD

  Medicare reassignment
• Daniel Moore Chapman, DPT

  • Orthopedic Physical Therapist
  • Baltimore, MD
  • NPI 1619440203
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714262400000",
    "number": "1780181305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S ROBINSON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242215",
            "telephone_number": "908-328-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 RED BRANCH RD STE B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452041",
            "telephone_number": "301-887-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACKIN PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "GLACKIN",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "908-328-3074",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "25821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932565298",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis S. Ginsberg, M.D.
• Kyle Ginsburg
• Jessica Giorgi
• Christopher Giorgio
• Elizabeth Rose Giuliani
• Brendan Thomas Glackin, DPT, OCS
• Shadaia Lisa Gladden
• Gladstone Psychiatry and Wellness
• Keyona Glanville
• Dean Steven Glaros, MD

• Physical Therapy Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; 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.