Julie A Glenn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2342 Issued in MT

Practice address

2150 Hollow Brook Dr
100
Colorado Springs, CO 80918-8413

Phone

(719) 599-5330

Fax

(719) 599-5438

NPI assigned

Jan 4, 2013

Last updated

Jan 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edge Rehabilitation & Wellness LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1770852006
  NPD (past)
• Rea Rehabilitation Services Inc

  dba Edge Rehabilitation & Wellness

  • Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1386719052
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1396082731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 MISTY CREEK DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326004",
            "telephone_number": "719-650-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HOLLOW BROOK DR",
            "address_2": "100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188413",
            "telephone_number": "719-599-5330",
            "fax_number": "719-599-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Gleason, LSW
• Andrea Sara Glen, MS, CCC-SLP
• Gleneagle Vision Center, P.C.
• Autumn Whitney Glenn, PA-C
• Jeffrey E Glenn
• Shelby Olivia Glenn, MPH, BSN, RN
• William Hall Glenn Jr., LCSW
• Oceana Marie Glidewell-Woods
• Robert Neil Glidewell, PSYD
• Glimmer of Hope Home Health Care LLP

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.