Individual provider Active NPI

Kendra Colleen Glendenning, DPT, DC

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1811408198
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT296606 Issued in CA
Practice address
12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone
(831) 264-6040
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC33843 CA
Physical Therapist 225100000X PT296606 CA Primary

Addresses

Primary practice location

12 Upper Ragsdale Dr
Monterey, CA 93940-5730

Mailing address

12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone (831) 648-7200

Other identifiers 2

IdentifierTypeStateIssuer
PT296606OtherCASTATE MEDICAL LICENSE
DC33843OtherCACHIROPRACTOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909000837 CA Practitioner - Physical Therapist in Private Practice 1355670803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians

Practice addresses (Care Compare)

12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone (831) 648-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC33843CAMDRehabilitation Chiropractor
PT296606CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Spine & Joint PC CurrentSince May 31, 2019 Accepting new patients
Monterey Spine & Joint PC CurrentSince May 31, 2019 Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

Interoperability endpoints

  • Direct secure messaging: kendra.glendenning.p1@direct.msjhealth.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1811408198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405730",
            "telephone_number": "831-648-7200",
            "fax_number": "831-648-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405730",
            "telephone_number": "831-264-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENDENNING",
        "first_name": "KENDRA",
        "middle_name": "COLLEEN",
        "credential": "DPT, DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC33843",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "PT296606",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "DC33843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.