Individual provider Active NPI

Glenn Fleenor

  • Physical Therapist
  • Seneca, SC
National Provider Identifier
1518565373
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
12023 N Radio Station Rd Ste a
Seneca, SC 29678-1143
Phone
(864) 985-0770
NPI assigned
Oct 14, 2020
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 Primary

Addresses

Primary practice location

12023 N Radio Station Rd Ste a
Seneca, SC 29678-1143

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201110002020 SC Practitioner - Physical Therapist in Private Practice 6103236765 Reassigns benefits to 1 organization
I20210416002070 AL Practitioner - Physical Therapist in Private Practice 6103236765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Enterprises LLCGroup PAC ID 1456891571, 7 clinicians

Practice addresses (Care Compare)

401 Hughes Rd
Suite 2
Madison, AL 35758-1144
Phone (256) 285-4352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10451SCMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Enterprises, LLC Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
The Orthopaedic Center CurrentSince Mar 8, 2021 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Sep 6, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Oct 19, 2020 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients

Locations

927 Franklin St SE
Fl 1
Huntsville, AL 35801

927 Franklin St SE
Fl 4
Huntsville, AL 35801

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

401 Hughes Rd
Ste 2
Madison, AL 35758
Phone (256) 285-4352

814 Palmer Rd
Ste D
Madison, AL 35758

8475 Wann Dr NW
Madison, AL 35758
Phone (256) 539-2738

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

12023 N Radio Station Rd
#A
Seneca, SC 29678
Phone (864) 985-0770

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1518565373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12023 N RADIO STATION RD STE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781143",
            "telephone_number": "864-985-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEENOR",
        "first_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.