Individual provider Active NPI

Glenn J Flaming, MPT

  • Physical Therapist
  • Damariscotta, ME
National Provider Identifier
1629258462
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1894 Issued in ME
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

Updated by the provider on Jul 18, 2022

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 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

IdentifierTypeStateIssuer
160440000MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PT1894MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn J. Flaming MPT Physical Therapist CurrentSince Jul 8, 2006 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.

Verify at the official NPI Registry.