Paul Eugene Glynn, PT, DPT, OCS,FAAOMPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11353 Issued in MA

Practice address

76 Bedford St Ste 7
Lexington, MA 02420-4640

Phone

(781) 862-0200

Fax

(781) 862-0600

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Glynn Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lexington, MA
  • NPI 1588020556

  Orthopedic

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1982819967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 7",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204640",
            "telephone_number": "781-862-0200",
            "fax_number": "781-862-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 7",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204640",
            "telephone_number": "781-862-0200",
            "fax_number": "781-862-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "PAUL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS,FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "11353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "S400277013",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gia Giordano
• Galina Gitlin, DMD
• Bridget Elizabeth Glenshaw, MA
• Beth Snider Glick, LICSW
• Glynn Physical Therapy LLC
• Laura Marie Goehner, CF-SLP
• Kimberly Goffin
• Barbara Gold, RD
• Ilan Philip Goldberg, M.D.
• Rachel Goldin

• Orthopedic Physical Therapist in Lexington, MA
• Providers in Lexington, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.