Martie Johanna Vanwerkum-Glidden, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11721 Issued in CA

Practice address

2103 Myrtle Ave
Eureka, CA 95501-3323

Phone

(707) 445-9150

Fax

(707) 444-1372

NPI assigned

Nov 29, 2005

Sex

Female

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Ther-a-Con Physical Therapy Inc

  • Physical Therapist
  • Eureka, CA
  • NPI 1649255605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215911748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013323",
            "telephone_number": "707-445-9150",
            "fax_number": "707-444-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013323",
            "telephone_number": "707-445-9150",
            "fax_number": "707-444-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWERKUM-GLIDDEN",
        "first_name": "MARTIE",
        "middle_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Vang
• Jessica Lynn Vankeuren, R.S.
• Lonnie Sue Vanmeter, MSW, ASW
• John Arthur Vanspeybroeck, M.D.
• Katharine Vanspeybroeck, A.S.W.
• Cole Vanwey
• Rebecca Vargas
• Ali Varzgah, M.D.
• Marian Pence Vasilevich, MA, LMFT
• Christopher Vasquez

• Physical Therapist in Eureka, CA
• Providers in Eureka, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.