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

Jeremy Glavanovits

Individual provider Physical Therapist · NPI 1316714215

Jeremy Glavanovits is a Physical Therapist in Private Practice in Lyons, Illinois. Qualified in 2023, 3 years ago. Practices with Legacy Physical Therapy and Wellness PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023

Practice location Address checks out

8317 Ogden Ave
Lyons, IL 60534-1122
Phone: (847) 818-0461
Fax: (847) 305-2917
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070027936 (IL)

Record details

NPI number1316714215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Physical Therapy And Wellness Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lyons