Glenn S Patrick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006406 Issued in CT

Practice address

25 Valley Dr Ste 2
Greenwich, CT 06831-5203

Phone

(203) 302-3570

NPI assigned

Aug 13, 2010

Last updated

Aug 13, 2010By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oetting Stebbins Physical Therapy

  dba Ospt

  • Physical Therapist
  • Greenwich, CT
  • NPI 1124054598
  NPD (past)

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1215242375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VALLEY DR STE 2",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315203",
            "telephone_number": "203-302-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 VALLEY DR STE 2",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315203",
            "telephone_number": "203-302-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "GLENN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006406",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62016632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhargavi Patel
• Bianca Patel, PA-C
• Naeha Pathak, MD
• Pathways, Inc
• Patrick Davin
• Sarah Pauker, LPC, LCAT
• Carly Paul
• Susan Paul, P.A.
• Maia Natalia Pavlovic
• Wilma Katia Pazmino Villota, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.