| Grady Glynn, DPT | |
|
3050 Centre Pointe Dr, Suite Number 200, Roseville, MN 55113-1102 | |
| (651) 631-4242 | |
| Not Available |
| Full Name | Grady Glynn |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 3050 Centre Pointe Dr, Roseville, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093110413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9811 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Grady Glynn, DPT 14660 Lola Ave, Waseca, MN 56093-9002 Ph: (507) 461-1819 | Grady Glynn, DPT 3050 Centre Pointe Dr, Suite Number 200, Roseville, MN 55113-1102 Ph: (651) 631-4242 |
Mr. Peter Gering Skupeko, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Eldridge Ave W, Roseville, MN 55113 Phone: 651-639-1615 Fax: 651-639-1615 | |
Amy Sue Andersen, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1970 Oakcrest Ave, Suite 107, Roseville, MN 55113 Phone: 651-636-6330 | |
Rebecca Mae Gilbertson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2945 Lincoln Dr, Roseville, MN 55113 Phone: 651-628-3000 | |
Mr. Frederick Carl Hjelm, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-638-0080 Fax: 651-638-0082 | |
Nicholas Daniel Biondich, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 Lexington Ave N, 286, Roseville, MN 55113 Phone: 952-835-4512 | |
Robert M Storevik, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2151 Hamline Ave N, #111, Roseville, MN 55113 Phone: 651-636-5560 Fax: 651-636-4406 |