Individual provider Active NPI

Laura Dunning Glazebrook, PT, DPT

  • Physical Therapist
  • Duluth, GA
National Provider Identifier
1942556295
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010672 Issued in GA
Practice address
3400 McClure Bridge Rd Ste a
Duluth, GA 30096-6675
Phone
(678) 856-7550
Fax
(855) 655-5261
NPI assigned
Jul 24, 2012
Last updated
Jan 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010672 GA Primary
Orthopedic Physical Therapist 2251X0800X PT010672 GA

Addresses

Primary practice location

3400 McClure Bridge Rd Ste a
Duluth, GA 30096-6675

Mailing address

3400 McClure Bridge Rd Ste a
Duluth, GA 30096-6675
Phone (678) 856-7550

Other practice location 1

3300 Northeast Expy NE Ste C
Atlanta, GA 30341-3932
Phone (770) 500-3848

Other practice location 2

1610 Lavista Rd NE Ste 9
Atlanta, GA 30329-4316
Phone (678) 856-7550

Other practice location 3

1230 Johnson Ferry Pl
Suite G-10
Marietta, GA 30068-2048
Phone (770) 321-6705

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://alignptga.janeapp.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405001101 GA Practitioner - Physical Therapist in Private Practice 6002157781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Align Physical Therapy LLCGroup PAC ID 3072993393, 3 clinicians

Practice addresses (Care Compare)

3400 McClure Bridge Rd
Suite a
Duluth, GA 30096-6675
Phone (678) 671-6114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010672GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Align Physical Therapy LLC Physical Therapist CurrentSince Oct 23, 2022 Accepting new patients
One-on-One Therapy Inc. Physical Therapist CurrentSince Mar 12, 2019 Accepting new patients

Locations

1610 Lavista Rd NE
Ste 9
Atlanta, GA 30329
Phone (678) 671-6114

3400 McClure Bridge Rd
Bldg D
Duluth, GA 30096
Phone (678) 671-6114

3400 McClure Bridge Rd
Ste A
Duluth, GA 30096
Phone (316) 235-4448

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1942556295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD STE A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "678-856-7550",
            "fax_number": "855-655-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD STE A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "678-856-7550",
            "fax_number": "855-655-5261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Northeast Expy NE Ste C",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303413932",
            "country_code": "US",
            "telephone_number": "770-500-3848",
            "fax_number": "678-868-1114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Lavista Rd NE Ste 9",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303294316",
            "country_code": "US",
            "telephone_number": "678-856-7550",
            "fax_number": "855-655-5261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Johnson Ferry Pl",
            "address_2": "Suite G-10",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682048",
            "country_code": "US",
            "telephone_number": "770-321-6705",
            "fax_number": "404-551-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAZEBROOK",
        "first_name": "LAURA",
        "middle_name": "DUNNING",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010672",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT010672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://alignptga.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "Records storage",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3400 McClure Bridge Rd Ste A",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300966675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.