Individual provider Active NPI

Jacob Stoaklie Glasgow, DPT

  • Orthopedic Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1952272015
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
LPT-034366 Issued in AZ
Practice address
885 E Warner Rd Ste 102
Gilbert, AZ 85296-3077
Phone
(480) 681-6400
Fax
(480) 681-7132
NPI assigned
Sep 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X LPT-034366 AZ Primary

Addresses

Primary practice location

885 E Warner Rd Ste 102
Gilbert, AZ 85296-3077

Mailing address

885 E Warner Rd Ste 102
Gilbert, AZ 85296-3077
Phone (480) 681-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260617004782 AZ Practitioner - Physical Therapist in Private Practice 4688146996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Luna Care Physical Therapy LLCGroup PAC ID 8325469661, 18 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

14050 N 83Rd Ave
Suite 290
Peoria, AZ 85381-5650
Phone (866) 525-3175

885 E Warner Rd
Suite 102
Gilbert, AZ 85296-3077
Phone (480) 681-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-034366AZMDOrthopedic Physical Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1952272015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 E WARNER RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963077",
            "telephone_number": "480-681-6400",
            "fax_number": "480-681-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 E WARNER RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963077",
            "telephone_number": "480-681-6400",
            "fax_number": "480-681-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASGOW",
        "first_name": "JACOB",
        "middle_name": "STOAKLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LPT-034366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.