Active NPI
Laura Jean Glazier, PTA
- Physical Therapy Assistant
- Pawley's Island, SC
National Provider Identifier
1932365012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 271
- Practice address
- 38 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5768 - Phone
- (843) 237-0343
- NPI assigned
- Jul 29, 2008
- Last updated
- Jul 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 271 | SC | Primary |
Addresses
Primary practice location
38 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5768
Mailing address
196 Hopeland St
Pawleys Island, SC 29585-7235
Phone (843) 235-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271 | SC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1932365012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 HOPELAND ST",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295857235",
"telephone_number": "843-235-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 LAKES AT LITCHFIELD DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295855768",
"telephone_number": "843-237-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZIER",
"first_name": "LAURA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawley's Island, SC
- Georgetown Physician Services, LLC (Waccamaw Family Medicine)
- Georgetown Podiatry Group PC (Pawleys Podiatry)
- Gerber-Millan Womens Care LLC
- Christine S Gerber, M.D.
- Brittany Wynn Gibson, NP
- Dioselina Ruiz Godbold, MA, LPCI, CT
- Good Therapy
- Rhonda Goodale
- Goodwill Transportation Services SC LLC
- Jenna T Gordon, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.