Individual provider Active NPI

Glenn Holland, PT

  • Physical Therapist
  • Wexford, PA
National Provider Identifier
1790727725
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008901L Issued in PA
Practice address
10668 Perry Hwy
Wexford, PA 15090-9245
Phone
(724) 940-2323
Fax
(724) 940-2340
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008901L PA Primary

Addresses

Primary practice location

10668 Perry Hwy
Wexford, PA 15090-9245

Mailing address

1141 Prospect Rd
Pittsburgh, PA 15227-1408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000164 PA Practitioner - Physical Therapist in Private Practice 5092818641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland and Kelley PT LLCGroup PAC ID 7214282151, 2 clinicians

Practice addresses (Care Compare)

1656 State Route 228
Suite 102
Cranberry Township, PA 16066
Phone (724) 591-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Physical Therapy and Sports Rehab CurrentSince Jan 12, 2025 Accepting new patients
Holland and Kelley PT LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients

Locations

1656 Route 228
Ste 102
Cranberry Twp, PA 16066
Phone (724) 591-8900

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790727725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PROSPECT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152271408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10668 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909245",
            "telephone_number": "724-940-2323",
            "fax_number": "724-940-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "GLENN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008901L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • 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.
  • 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.