Provider Demographics
NPI:1932071552
Name:THE PELVIC PLACE LLC
Entity type:Organization
Organization Name:THE PELVIC PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:GLAROS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:330-719-2998
Mailing Address - Street 1:236 FOX RUN
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-1171
Mailing Address - Country:US
Mailing Address - Phone:330-719-2998
Mailing Address - Fax:
Practice Address - Street 1:2202 NILES CORTLAND RD NE
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-9404
Practice Address - Country:US
Practice Address - Phone:330-719-2998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy