Heather L Glenn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3649 Issued in TN

Practice address

132 Newport Towne Ctr
Newport, TN 37821-7360

Phone

(423) 623-2890

Fax

(423) 623-2924

NPI assigned

Mar 12, 2010

Sex

Female

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)

Not enrolled

State licenses

Practice roles

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.

• Benchmark Healthcare Services LLC

  • Physical Therapy Clinic/Center
  • Newport, TN
  • NPI 1679889786
  NPD (past)
• Independent Physical Therapy

  • Physical Therapy Clinic/Center
  • Newport, TN
  • NPI 1033386263
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1740503127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217360",
            "telephone_number": "423-623-2890",
            "fax_number": "423-623-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217360",
            "telephone_number": "423-623-2890",
            "fax_number": "423-623-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelo J Garbarino Jr., MD
• Rebecca Geenen
• Geriatric Health Care Services
• Maggie Gibson
• Christine Marie Gilliam, HIS
• Good Night Sleep Diagnostics, LLC
• Annette Goodman, D.O.
• Robert Eugene Gray
• Darla Anne Greene, LCSW
• Leah Renee Gregg, R.N.

• All providers in Newport, TN
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.