Susan Glenney, PT DPT MS CSCS
Individual provider Active NPI Physical Therapist · Storrs, CT
NPI 1265713887 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1265713887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 003963 (CT)
- Practice address
- 843 Bolton Rd
U-1249
Storrs, CT 06269-1249 - Phone
- (860) 486-8080
- Fax
- (860) 486-8081
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003963 | CT | MD | Physical Therapist |
| 007023 | MA | MD | Physical Therapist |
| 001073 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut | Past | Accepting new patients | |
| University of Connecticut | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003963 | CT | Yes |
| Physical Therapist | 225100000X | 007023 | MA | |
| Physical Therapist | 225100000X | 001073 | NH |
Addresses
Primary practice location
843 Bolton Rd
U-1249
Storrs, CT 06269-1249
Mailing address
843 Bolton Rd
U-1249
Storrs, CT 06269-1249
Phone (860) 486-8080
Other names
- Susan Sullivan
Other providers in Storrs, CT
- Victoria Friedrich
- McKenzie Gallasso
- Madison Grace Gaul
- Steven Taylor Gerhart
- Jennifer Ellis Girotto
- Carrie Odetta Graham
- Jonathan Matthew Gulish
- Sharon Denise Gustave
- Andrea M Gutierrez
- Jaren Haddock
All providers in Storrs, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.