NPI
Glenn R Carlson
NPI 1477640050
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MSPT, DPT
- Type
- Individual
- Enumeration date
- 2006-10-06
- Last updated
- 2008-06-02
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Specialties
Licenses
- License TN
- 2111
- License GA
- 004764
Location
- Practice location
- 210 Walmart Dr Ste 100, Benchmark Physical Therapy
- City
- Soddy Daisy TN
- Postal code
- 37379-5022
- Phone
- (423) 332-9490
Medicare
Medicare enrollment (PECOS) was not checked for this NPI on this load. The Medicare enrollment lookup checks it directly. This page does not decide enrollment.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Soddy Daisy, TN. 166 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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