Glenn J Decker, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT001347 Issued in KY

Practice address

474 Whirlaway Dr
Danville, KY 40422-9037

Phone

(859) 238-7650

Fax

(859) 238-4160

NPI assigned

Nov 21, 2007

Last updated

Nov 21, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Danville Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Danville, KY
  • NPI 1114985033
  Authorized official Same address or phone

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1649451337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 WHIRLAWAY DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229037",
            "telephone_number": "859-238-7650",
            "fax_number": "859-238-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WHIRLAWAY DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229037",
            "telephone_number": "859-238-7650",
            "fax_number": "859-238-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "GLENN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "PT001347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mira Daugherty, APRN
• Dawn Pingleton, DO
• Barbara E Dawson
• Tyler Joel Daylong, OTD, OTR/L
• Kelley 'Corky' Deaton III, DMD
• Paul P Deluca, MD
• Susan K Dennis
• Jessica Dennison, MD
• Sara Ann R. Derringer, SLP
• Jennifer L Devine, APRN

• Specialist in Danville, KY
• Providers in Danville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.