Active NPI
Glenn J Flaming, MPT
- Physical Therapist
- Damariscotta, ME
National Provider Identifier
1629258462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1894
- Practice address
- 64 Chapman St
Damariscotta, ME 04543-4614 - Phone
- (207) 563-7990
- Fax
- (207) 563-7991
- NPI assigned
- Nov 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1894 | ME | Primary |
Addresses
Primary practice location
64 Chapman St
Damariscotta, ME 04543-4614
Mailing address
64 Chapman St
Damariscotta, ME 04543-4614
Phone (207) 563-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160440000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050630000808 | ME | Practitioner - Physical Therapist in Private Practice | 0345286258 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
64 Chapman St
Damariscotta, ME 04543-4614
Phone (207) 563-7990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1894 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenn J. Flaming MPT | Physical Therapist | Current | Accepting new patients |
Locations
11 Elsinore Ave
Bath, ME 04530
Phone (207) 442-9810
68 Chapman St
Damariscotta, ME 04543
Phone (207) 563-6616
64 Chapman St
Damariscotta, ME 04543
Phone (207) 563-7990
Organizations & group practices 1
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": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1629258462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 CHAPMAN ST",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434614",
"telephone_number": "207-563-7990",
"fax_number": "207-563-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 CHAPMAN ST",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434614",
"telephone_number": "207-563-7990",
"fax_number": "207-563-7991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAMING",
"first_name": "GLENN",
"middle_name": "J",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-09",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT1894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160440000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.