Active NPI
Carlos Glines, PT, DPT, CSCS
- Physical Therapist
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 163808
- Practice address
- 1749 N Stewart St Ste 50
Carson City, NV 89706-2574 - Phone
- (775) 348-8800
- Fax
- (833) 687-1419
- NPI assigned
- Sep 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 163808 | AK | Primary |
Addresses
Primary practice location
1749 N Stewart St Ste 50
Carson City, NV 89706-2574
Mailing address
5310 Kietzke LN Ste 104
Reno, NV 89511-2043
Phone (775) 348-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 W Dimond Blvd
Suite 101
Anchorage, AK 99515-1907
Phone (907) 748-0022
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163808 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy | Single Specialty | Current | Accepting new patients |
| Northern Edge Physical Therapy Limited Partnership | Single Specialty | Past | Accepting new patients |
Locations
2221 E Northern Lights Blvd
Ste 108
Anchorage, AK 99508
Phone (907) 277-5337
135 W Dimond Blvd
Ste 101
Anchorage, AK 99515
Phone (907) 748-0022
718 K St
Ste D
Anchorage, AK 99501
Phone (907) 748-0022
Organizations & group practices 2
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.
-
- Physical Therapist
- Wasilla, AK
- NPI 1497538474
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1861006009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 KIETZKE LN STE 104",
"city": "RENO",
"state": "NV",
"postal_code": "895112043",
"telephone_number": "775-348-8800",
"fax_number": "833-687-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 N STEWART ST STE 50",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897062574",
"telephone_number": "775-348-8800",
"fax_number": "833-687-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLINES",
"first_name": "CARLOS",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-04",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "AK",
"license": "163808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.