Active NPI
Glen A Summers, MSPT
- Physical Therapist
- Midland, VA
National Provider Identifier
1285861898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3388
- Practice address
- 9583 Eastern View LN
Midland, VA 22728-1803 - Phone
- (609) 682-0594
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2302 | ID | |
| Physical Therapist | 225100000X | PT3388 | ME | Primary |
Addresses
Primary practice location
9583 Eastern View LN
Midland, VA 22728-1803
Mailing address
9583 Eastern View LN
Midland, VA 22728-1803
Phone (609) 682-0594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2302 | ID | MD | Physical Therapist |
| PT3388 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1285861898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9583 EASTERN VIEW LN",
"city": "MIDLAND",
"state": "VA",
"postal_code": "227281803",
"telephone_number": "609-682-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9583 EASTERN VIEW LN",
"city": "MIDLAND",
"state": "VA",
"postal_code": "227281803",
"telephone_number": "609-682-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "GLEN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2302",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.