Glenn Maclean-Talbot, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5749 Issued in OR

Practice address

1020 SW Indian Ave Ste 102
Redmond, OR 97756-3037

Phone

(541) 504-5363

Fax

(541) 504-7677

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Physical Therapy and Wellness Center IncGroup PAC ID 5799835435, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alpine Physical Therapy and Wellness Center Inc

  • Physical Therapist
  • Bend, OR
  • NPI 1003058363

  OR, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Oregon LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1801257191

  OR, Physical Therapist

  Medicare reassignment NPD
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388
  NPD
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Cave Junction, OR
  • NPI 1467996363
  NPD
• Lauren Hebert, PT,SC

  • Physical Therapist
  • Dixfield, ME
  • NPI 1760664452
  NPD (past)
• Smartcare Inc

  • Physical Therapist
  • Dixfield, ME
  • NPI 1861444226
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1669586103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW INDIAN AVE STE 102",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563037",
            "telephone_number": "541-504-5363",
            "fax_number": "541-504-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW INDIAN AVE STE 102",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563037",
            "telephone_number": "541-504-5363",
            "fax_number": "541-504-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN-TALBOT",
        "first_name": "GLENN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5749",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "3177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "5749",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Lynch, PA-C
• Diana Mae Lyons
• Cara Macedo, MS CF-SLP
• Emmanuel Macias, DPT
• Sherry Macias, LPC
• Kristine Maclean-Talbot
• Tyler Ray Main, PHARMD
• James Henry Majetich
• Isabel Makman, MD
• Tamatha Sue Makowsky

• All providers in Redmond, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.