Harold Thomas Glatz, MSPT
Individual provider Active NPI Physical Therapist · Forty Fort, PA
NPI 1962431270 · NPPES record last updated Sep 20, 2010
Key facts
- NPI
- 1962431270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT009687L (PA)
- Practice address
- 190 Welles St
Forty Fort, PA 18704-4968 - Phone
- (570) 714-4171
- Fax
- (570) 714-4188
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009687L | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009687L | PA | Yes |
Addresses
Primary practice location
190 Welles St
Forty Fort, PA 18704-4968
Mailing address
610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101102017 | Medicaid | PA |
Other providers in Forty Fort, PA
- Geisinger Clinic
- Geisinger Wyoming Valley
- Charles Patrick Gelso
- Elizabeth Gernhardt
- Roy Walter Gernhardt III
- Kenneth M Granahan
- Robert Edward Griffin
- Jeanne Ann Grymko
- John Michael Guarnieri
- Louis John Guarnieri
All providers in Forty Fort, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.