Active NPI
Glen Gilbert Rasmussen, D.C.
- Chiropractor
- Myrtle Beach, SC
National Provider Identifier
1114091022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3082
- Practice address
- 1943 Glenns Bay Rd
Myrtle Beach, SC 29575-4833 - Phone
- (843) 650-1162
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3082 | SC | Primary |
Addresses
Primary practice location
1943 Glenns Bay Rd
Myrtle Beach, SC 29575-4833
Mailing address
11 Berkshire Loop
Pawleys Island, SC 29585-6349
Phone (843) 235-1034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Physical Therapy & Rehab | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Surfside Beach, SC
- NPI 1659428324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1114091022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BERKSHIRE LOOP",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295856349",
"telephone_number": "843-235-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1943 GLENNS BAY RD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295754833",
"telephone_number": "843-650-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "GLEN",
"middle_name": "GILBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.