Active NPI
Glendora L Hurst, DPT
- Physical Therapist
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008353
- Practice address
- 875 Flat Shoals Rd SE
Conyers, GA 30094-6638 - Phone
- (770) 785-7669
- NPI assigned
- Jul 24, 2019
- Last updated
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 008353 | GA | Primary |
Addresses
Primary practice location
875 Flat Shoals Rd SE
Conyers, GA 30094-6638
Mailing address
616 Trees of Avalon Pkwy
McDonough, GA 30253-7602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.64 of 100
- Quality
- 69.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008353 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Orthopaedics and Spine Institute, LLC | Current | Accepting new patients | |
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Regenerative Orthopaedics and Spine Institute, LLC | Current | Accepting new patients | |
| Esop Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
875 Flat Shoals Rd SE
Ste 150
Conyers, GA 30094
Phone (770) 785-7669
135 N Park Pl
Ste 101
Stockbridge, GA 30281
Phone (770) 892-0273
135 N Park Pl
Ste 210
Stockbridge, GA 30281
Phone (770) 892-0273
199 Medical Blvd
Stockbridge, GA 30281
Phone (404) 808-0155
Interoperability endpoints
- glendora.hurst.1@12239.direct.athenahealth.com
- glendora.hurst.p1@direct.aicaorthopedics.nextgenshare.com
- glendora.hurst.p8@direct.aicaorthopedics.nextgenshare.com
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1164182333
Physical Therapist
-
- Orthopaedic Surgery Physician
- Stockbridge, GA
- NPI 1568858231
-
dba Emory & Select Physical Therapy
- Physical Therapy Clinic/Center
- Conyers, GA
- NPI 1811319023
Physical Therapist
-
dba Emory & Select Physical Therapy
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1962824003
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
- NPI 1043070014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1649824012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 TREES OF AVALON PKWY",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302537602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 FLAT SHOALS RD SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946638",
"telephone_number": "770-785-7669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "GLENDORA",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "008353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.