Ryan Glenn, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299045 Issued in CA

Practice address

907 Embarcadero Dr
El Dorado Hills, CA 95762-4087

Phone

(916) 933-1221

Fax

(916) 933-0871

NPI assigned

Sep 4, 2020

Last updated

Feb 5, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Dorado Physical Therapy IncGroup PAC ID 8325181480, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• El Dorado Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
  • NPI 1033446448

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Fitzpatrick Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Placerville, CA
  • NPI 1295783900

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1467066621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EMBARCADERO DR",
            "address_2": "STE B",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624087",
            "telephone_number": "916-933-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EMBARCADERO DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624087",
            "telephone_number": "916-933-1221",
            "fax_number": "916-933-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Gilbert, BCBA
• Sean Gildea
• Rajdeep Gill
• Anneliese Gleason
• Monika Gleason
• Kristin Joy Glidewell, MPT
• Maureen Glynn, M.A.
• Debbie Go, BCBA
• Colin Gobourne
• Diana Godinez

• Physical Therapist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.