Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Glenn Black, PT

Individual provider Physical Therapist · NPI 1053424234

Charles Glenn Black, PT is a Physical Therapist in Private Practice in Severn, Maryland. Qualified in 1995, 31 years ago. Practices with Lhmg Physical Therapy, LLC, a 102-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
31
Licensed in
MD
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1231 Colonial Park Dr
Severn, MD 21144-4417
Phone: (410) 570-1446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 18275 (MD)

Record details

NPI number1053424234
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESMay 26, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Lhmg Physical Therapy, Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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