Individual provider Active NPI

Michael Seth Glicksman, MD

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
National Provider Identifier
1881229672
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD494863 Issued in PA
Practice address
320 E North Ave, Hemlock BLDG, FL 04
Pittsburgh, PA 15212-4756
Phone
(412) 359-3005
Fax
(412) 359-3006
NPI assigned
Mar 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD494863 PA Primary
Physical Medicine & Rehabilitation Physician 208100000X 1022369 MA

Addresses

Primary practice location

320 E North Ave, Hemlock BLDG, FL 04
Pittsburgh, PA 15212-4756

Mailing address

60 Kilmarnock St Apt 401
Boston, MA 02215-4870

Other practice location 1

311 W 24th St Ste 302
Erie, PA 16502-2666
Phone (814) 452-7246

Other identifiers 1

IdentifierTypeStateIssuer
16550520OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000160 MA Practitioner - Physical Medicine and Rehabilitation 9032511225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Georgetown University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
BLW Medical Services LLCGroup PAC ID 3476918053, 9 clinicians

Practice addresses (Care Compare)

2 Rehab Way
Woburn, MA 01801-6003
Phone (781) 935-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
BLW Medical Services LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2025 Accepting new patients

Locations

35 United Dr
Ste 102
West Bridgewater, MA 02379

2 Rehabilitation Way
Woburn, MA 01801
Phone (781) 935-5050

Organizations & group practices 1

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": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1881229672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KILMARNOCK ST APT 401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE, HEMLOCK BLDG, FL 04",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3005",
            "fax_number": "412-359-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W 24th St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165022666",
            "country_code": "US",
            "telephone_number": "814-452-7246",
            "fax_number": "814-452-7244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICKSMAN",
        "first_name": "MICHAEL",
        "middle_name": "SETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD494863",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "1022369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16550520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.