MEDICARE: GRACE MARIE GLEMBOCKI GARDNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1447793351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE MARIE GLEMBOCKI GARDNER

Provider Business Mailing Address
First Line	:	1512 N RHODES ST
Second Line	:	APT 208
City	:	ARLINGTON
State	:	VA
Zip	:	22209-2920
Country	:	US
Telephone Number	:	919-610-9469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1512 N RHODES ST
Second Line	:	APT 208
City	:	ARLINGTON
State	:	VA
Zip	:	22209-2920
Country	:	US
Telephone Number	:	919-610-9469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2016
Last Update Date	:	05/12/2023

Similar Medicare Providers

1093707721 — BARBARA A NUGENT MD PA
Practice Location Address:

3125 MATLOCK RD , STE 105
ARLINGTON, TX
76015-2920

Practice Phone: 817-465-6664
Practice Fax: 817-468-9289

1790723948 — KENNETH P. CARLSON
Practice Location Address:

3125 MATLOCK RD , SUITE 108
ARLINGTON, TX
76015-2920

Practice Phone: 817-468-3911
Practice Fax: 817-468-0374

1124043716 — COMMUNITY HOSPITALS OF INDIANA INC
Practice Location Address:

2920 N ARLINGTON AVE , SUITE B
INDIANAPOLIS, IN
46218-3362

Practice Phone: 317-355-9431
Practice Fax: 317-355-9445

1194745208 — MARY P BLANCHET NP
Practice Location Address:

2920 N ARLINGTON AVE , SUITE B
INDIANAPOLIS, IN
46218-3362

Practice Phone: 317-355-9431
Practice Fax: 317-355-9445

1124040464 — L T GATES MD
Practice Location Address:

2920 N ARLINGTON AVE , SUITE B
INDIANAPOLIS, IN
46218-3362

Practice Phone: 317-355-9431
Practice Fax: 317-355-9445

1114932647 — ROBIN LEDYARD M.D.
Practice Location Address:

2920 N ARLINGTON AVE STE B
INDIANAPOLIS, IN
46218-3362

Practice Phone: 317-355-9315
Practice Fax: 317-355-9319

Directions to “ GRACE MARIE GLEMBOCKI GARDNER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.