Individual provider Active NPI

Glenn Monkman, DPT

  • Physical Therapist
  • Ardmore, PA
National Provider Identifier
1396269478
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026280 Issued in PA
Practice address
233 E Lancaster Ave Ste 100
Ardmore, PA 19003-2321
Phone
(610) 642-4494
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026280 PA Primary

Addresses

Primary practice location

233 E Lancaster Ave Ste 100
Ardmore, PA 19003-2321

Mailing address

826 Harper Ave
Drexel Hill, PA 19026-1713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228000787 PA Practitioner - Physical Therapist in Private Practice 8123367653 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jul 1, 2021 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 3, 2019 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince Jan 3, 2019 Accepting new patients
Rehabclinics SPT, Inc. Past Accepting new patients
Rehabclinics Galaxy Inc Past Accepting new patients

Locations

825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800

201 Second Ave
Collegeville, PA 19426
Phone (610) 454-7991

352 Railroad St
Ligonier, PA 15658
Phone (724) 238-3301

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 7

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1396269478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 HARPER AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E LANCASTER AVE STE 100",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032321",
            "telephone_number": "610-642-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONKMAN",
        "first_name": "GLENN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.