Reclaim Your Life LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RECLAIM YOUR LIFE LLC

Practice address

8416 Bellhaven Blvd
Charlotte, NC 28216-6103

Phone

(809) 272-0021

NPI assigned

Aug 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Glaze, PT, DPTNPI 1760084453

Title

Owner

Phone

(763) 670-1805

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jesse Ellen Glaze, DPT

  • Physical Therapist
  • Huntersville, NC
  • NPI 1760084453
  NPD Authorized official

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1780351593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 PLEASANT GROVE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 BELLHAVEN BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282166103",
            "telephone_number": "809-272-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM YOUR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-28",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "GLAZE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-670-1805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly King Redden, DO

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.