Lee Hawkins Glover, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA002501 Issued in GA

Practice address

4523 Forsyth Rd
Macon, GA 31210-4527

Phone

(478) 254-7010

Fax

(478) 254-7012

NPI assigned

Jan 30, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Physio at Hammonds Centre LLC

  dba Physio

  • Rehabilitation Clinic/Center
  • Macon, GA
  • NPI 1629455159
  NPD (past)
• The Hammonds Centre for Orthopaedic and Sports Physical Therapy, LLC

  • Physical Therapist
  • Macon, GA
  • NPI 1609107614
  NPD (past)

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

{
    "created_epoch": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296345600000",
    "number": "1437455078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 FORSYTH RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104527",
            "telephone_number": "478-254-7010",
            "fax_number": "478-254-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 FORSYTH RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104527",
            "telephone_number": "478-254-7010",
            "fax_number": "478-254-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "LEE",
        "middle_name": "HAWKINS",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-30",
        "last_updated": "2011-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE",
            "identifier": "PTA002501",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Mu'Nazza Glenn
• Jada Michelle Glenn, DO
• Joshua Brian Glenn, MD
• Daniel Glodener, MD
• Kaiyanna Glover
• Vonarica Glover
• Antonio Gobenciong, M.D.
• Samuel Goberdhan
• Lauren Gochenaur, CRNA
• Tami M Goddard, NP-C

• Physical Therapy Assistant in Macon, GA
• Providers in Macon, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2011; 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.