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

Larry Joe Dubuque, PT

Individual provider Physical Therapist · NPI 1639482706

Larry Joe Dubuque, PT is a Physical Therapist in Private Practice in Glendale, California. Qualified in 2010, 16 years ago. Practices with Select Cal Physical Therapy PC, a 161-clinician group. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

500 W Glenoaks Blvd
Glendale, CA 91202-2813
Phone: (818) 637-2127
Fax: (818) 637-2126
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 36882 (CA)

Record details

NPI number1639482706
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 19, 2010
Last updated in NPPESJuly 19, 2010
Mailing address4739 Willis Ave Apt 212, Sherman Oaks, CA 91403-2673

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Select Cal Physical Therapy Pc — 161 clinicians
Accepts Medicare assignment Not indicated

Other providers in Glendale