Individual provider Active NPI

Joshua Glidden, DPT

  • Physical Therapist
  • Fryeburg, ME
National Provider Identifier
1578985248
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3964 Issued in ME
Practice address
568 Main St
Fryeburg, ME 04037-1288
Phone
(207) 935-3500
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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 PT3964 ME Primary

Addresses

Primary practice location

568 Main St
Fryeburg, ME 04037-1288

Mailing address

568 Main St
Fryeburg, ME 04037-1288
Phone (207) 935-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709001266 ME Practitioner - Physical Therapist in Private Practice 7517182496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Physical Therapy P.a.Group PAC ID 4486686045, 4 clinicians

Practice addresses (Care Compare)

16 Old Pike Rd
Cornish, ME 04020-3506
Phone (207) 625-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3964MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Physical Therapy, LLC Physical Therapist CurrentSince Sep 29, 2017 Accepting new patients
Community Chiropractic ENT Inc. CurrentSince Dec 6, 2021 Accepting new patients
Foothills Physical Therapy, PA Physical Therapist CurrentSince Mar 23, 2022 Accepting new patients
Massabesic Health Resources PA Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients

Locations

797 Wilson St
Brewer, ME 04412
Phone (207) 992-4042

16 Old Pike Rd
Cornish, ME 04020
Phone (207) 625-4300

335 Corinna Rd
Dexter, ME 04930
Phone (207) 924-0077

568 Main St
Fryeburg, ME 04037
Phone (207) 935-3500

392 Main St
Waterboro, ME 04087
Phone (207) 347-3216

Organizations & group practices 4

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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1578985248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 MAIN ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371288",
            "telephone_number": "207-935-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 MAIN ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371288",
            "telephone_number": "207-935-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDDEN",
        "first_name": "JOSHUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fryeburg, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.