Organization Active NPI

Glenn J. Flaming MPT

  • Physical Therapist
  • Damariscotta, ME
National Provider Identifier
1225168339
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1894 Issued in ME
Legal business name
GLENN J. FLAMING MPT
Practice address
64 Chapman St
Damariscotta, ME 04543-4614
Phone
(207) 563-7990
Fax
(207) 563-7991
NPI assigned
Mar 7, 2007
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mr. Glenn J Flaming, P.T.NPI 1629258462
Title
President
Phone
(207) 442-9810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1894 ME Primary

Addresses

Primary practice location

64 Chapman St
Damariscotta, ME 04543-4614

Mailing address

64 Chapman St
Damariscotta, ME 04543-4614
Phone (207) 563-7990

Other identifiers 5

IdentifierTypeStateIssuer
048924OtherMEANTHEM BX BS
MN2352OtherMEHARVARD PILGRIM
2905490OtherMECIGNA
160440000MedicaidME
2274762OtherMEAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071129000451 ME Part B Supplier - Clinic/Group Practice 5890884779 Receives reassigned benefits from 3 practitioners
Practice locations: Bath, ME; Damariscotta, ME

National Provider Directory

National Provider Directory

Locations

11 Elsinore Ave
Bath, ME 04530
Phone (207) 442-9810

361 High St
Bath, ME 04530
Phone (207) 442-9810

64 Chapman St
Damariscotta, ME 04543
Phone (207) 563-7990

68 Chapman St
Damariscotta, ME 04543
Phone (207) 563-6616

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1225168339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CHAPMAN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434614",
            "telephone_number": "207-563-7990",
            "fax_number": "207-563-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CHAPMAN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434614",
            "telephone_number": "207-563-7990",
            "fax_number": "207-563-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN J. FLAMING MPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "FLAMING",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-442-9810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BX BS",
            "identifier": "048924",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MN2352",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2905490",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160440000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2274762",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.