Glen Edward Hunt, ATC/PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3598 Issued in NC

Practice address

1508 W Innes St
Salisbury, NC 28144-2504

Phone

(704) 630-9656

Fax

(704) 630-9658

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fowler Physical Therapy, Inc.

  • Physical Therapist
  • Salisbury, NC
  • NPI 1598992414
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1184710923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442504",
            "telephone_number": "704-630-9656",
            "fax_number": "704-630-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442504",
            "telephone_number": "704-630-9656",
            "fax_number": "704-630-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "GLEN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "ATC/PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1201",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A3598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin L Humphrey, PHD, LPC
• Jeanea R Hundley, M.D.
• Patricia Carolyn Hundt, LCSW
• Jennifer Huneycutt, COTA/L
• Kelly Ann Hunston, OTR/L
• Dakeeta McCaskill Hunter, LPC
• Gerald Hayden Hunter, CRNA
• Simone Melanie Hunter, PSYD
• Tonyan Wilson Hunter
• Robin Annette Hurley, M.D.

• Physical Therapy Assistant in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.