Glen Spooner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6167 Issued in NH

Practice address

23 Main St
Newport, NH 03773-1504

Phone

(603) 863-3260

Fax

(603) 863-3291

NPI assigned

Nov 17, 2025

Last updated

Nov 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universal Physical Therapy, LLCGroup PAC ID 5294702965, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universal Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Newport, NH
  • NPI 1992779391

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1194685594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037731504",
            "telephone_number": "603-863-3260",
            "fax_number": "603-863-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037731504",
            "telephone_number": "603-863-3260",
            "fax_number": "603-863-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "GLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Scarlett Sr., BS
• Lawrence Schissel, MD
• Eryn Sellarole, OTR/L
• Meghan Soby, DPT
• Sonja P. Carleton, Optician (Sunshine Eyewear)
• Erin Stanton
• Laine Starkey, OTR
• Susan Strebel, RN
• Sugar River Pharmacy LLC (Sugar River Pharmacy)
• Summercrest Assisted Living LLC (Summercrest Senior Living)

• Physical Therapist in Newport, NH
• Providers in Newport, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.