Glenn Patrick Katigbac Inciong, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044101-01 Issued in NY

Practice address

2042 Seagirt Blvd Apt 2B
Far Rockaway, NY 11691-5936

Phone

(929) 289-3995

NPI assigned

Apr 29, 2022

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1245975663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 SEAGIRT BLVD APT 2B",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915936",
            "telephone_number": "929-289-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 SEAGIRT BLVD APT 2B",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915936",
            "telephone_number": "929-289-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCIONG",
        "first_name": "GLENN PATRICK",
        "middle_name": "KATIGBAC",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044101-01",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "011961-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Chinyere Ikhalea, RN
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• Kelly Jean Ilardi
• Tanzim Imon, MD
• In and Out Medical P.C.
• Included
• Inclusive Rehab PT PC
• Inyang Bassey Inikori
• Rudy Innocent
• Integrated Therapeutic Services

• Physical Therapist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; 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.