Active NPI
Megan Jo Glossner, PT
- Physical Therapist
- Kingsprt, TN
National Provider Identifier
1194844969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7730
- Practice address
- 130 Ravine Road
Kingsprt, TN 37660 - Phone
- (423) 224-5510
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7730 | TN | Primary |
Addresses
Primary practice location
130 Ravine Road
Kingsprt, TN 37660
Mailing address
2601 John B Dennis Highway
Apt. 802
Kingsport, TN 37660
Phone (423) 288-3627
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7730 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194844969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 JOHN B DENNIS HIGHWAY",
"address_2": "APT. 802",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-288-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 RAVINE ROAD",
"city": "KINGSPRT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-224-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOSSNER",
"first_name": "MEGAN",
"middle_name": "JO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.