Physician Compare National (NPI:1861430191)

HEALTHCARE PROVIDER: GLENN MICHAEL CARLIN P.T.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861430191
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294902235
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190815000655
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARLIN
	Individual professional last name
Provider First Name	GLENN
	Individual professional first name
Provider Middle Name	MICHAEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9948 WOODWIND LN
	Group Practice or individual's line 1 address
Line 2 Street Address	THE LANDINGS
	Group Practice or individual's line 2 address
City	LAKE WORTH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334676102
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5614336002
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y