Frank Allen Glenn, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11351 Issued in GA

Practice address

90 Vandenberg Dr
Hanscom AFB, MA 01731-2104

Phone

(781) 225-6789

Fax

(781) 225-2576

NPI assigned

May 11, 2006

Last updated

Mar 29, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Effingham Rehab Services, LLC

  dba CORA Physical Therapy - Kingsland

  • Rehabilitation Clinic/Center
  • Kingsland, GA
  • NPI 1780264994

  Physical Therapist

  Medicare reassignment NPD
• Effingham Rehab Services, Inc

  dba CORA Physical Therapy - Downtown Savannah

  • Rehabilitation Clinic/Center
  • Savannah, GA
  • NPI 1770006272
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1750331872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VANDENBERG DR",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6789",
            "fax_number": "781-225-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VANDENBERG DR",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6789",
            "fax_number": "781-225-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "FRANK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT11351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY",
            "identifier": "1750331872",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Anthony Digregorio, PA-C
• Mohammed Fuad, PA-C
• Andrea Lynne Galeucia, LICSW; BCD
• Timothy Alan Gameros, PSYCHOLOGIST
• John David Gerhauser, DMD
• Ryan Gray, MD
• Ryan R Gustafson, D.D.S
• Jose Gutierrez Jr.
• George Charles Hludzik, DMD
• Caroline Moreira Hoehene, PA-C

• Physical Therapist in Hanscom AFB, MA
• Providers in Hanscom AFB, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.