Glenn Physical Therapy and Wellness Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GLENN PHYSICAL THERAPY AND WELLNESS INC

Practice address

1866 Bonhill Dr
Folsom, CA 95630-6107

Phone

(831) 917-3124

NPI assigned

Jun 12, 2023

Last updated

Jun 12, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Glenn, DPT

Title

President

Phone

(831) 917-3124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1669156428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 BONHILL DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 BONHILL DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306107",
            "telephone_number": "831-917-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-917-3124",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gareth Gish, M.D.
• John F. Gisla Jr., M.D.
• Liridon Gjocaj, MD
• Kevin Gleave, CMT
• Gary Andrew Glenesk, M.D.
• Jeffrey Neil Glover, LCSW
• Faith Raylynne Gnagy
• Gregory Gobin
• Lisa Dawn Goettsch, AMFT
• Gold Country Home Health

• Physical Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.