Individual provider Active NPI

Angela Kay Glahn, PT

  • Specialist
  • Owensboro, KY
National Provider Identifier
1235273699
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
004190 Issued in KY
Practice address
920 Frederica St Ste 104
Owensboro, KY 42301-3076
Phone
(270) 689-2341
Fax
(270) 689-2342
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 004190 KY Primary

Addresses

Primary practice location

920 Frederica St Ste 104
Owensboro, KY 42301-3076

Mailing address

920 Frederica St Ste 104
Owensboro, KY 42301-3076
Phone (270) 689-2341

Other practice location 1

1310 W Parrish Ave
Owensboro, KY 42301-2871
Phone (270) 686-7769

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000239 KY Practitioner - Physical Therapist in Private Practice 1557461373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

3362 Buckland SQ
Owensboro, KY 42301-5829
Phone (270) 506-4254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Dec 24, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Dec 24, 2024 Accepting new patients

Locations

3362 Buckland Sq
Owensboro, KY 42301
Phone (270) 506-4254

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235273699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 104",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013076",
            "telephone_number": "270-689-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 104",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013076",
            "telephone_number": "270-689-2341",
            "fax_number": "270-689-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 W Parrish Ave",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423012871",
            "country_code": "US",
            "telephone_number": "270-686-7769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAHN",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "004190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.