Natalia Rothey Glenn, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9028 Issued in CT

Practice address

90 Grove St
Suite 106
Ridgefield, CT 06877-4114

Phone

(203) 403-3519

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1013086131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 GROVE ST",
            "address_2": "SUITE 106",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774114",
            "telephone_number": "203-403-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GROVE ST",
            "address_2": "SUITE 106",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774114",
            "telephone_number": "203-403-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "NATALIA",
        "middle_name": "ROTHEY",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027428-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "1013086131",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haleh Ghanizadeh, M.D., M.P.H.
• Olivia Rae Giacoppi, MSW, LCSW
• Debra A. Gibson, N.D.
• F. Swift Gibson, PH.D.
• Charles S Giordano, PTMS
• Serafima M Glouzgal, MD
• Ellen G Gold, MD
• Golden Resources ABA LLC
• David Marc Goldsmith, LCSW
• Jonathan Mark Gordon, M.D.

• Physical Therapist in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.