Active NPI
Kendra Colleen Glendenning, DPT, DC
- Physical Therapist
- Monterey, CA
National Provider Identifier
1811408198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT296606
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT296606 | Other | CA | STATE MEDICAL LICENSE |
| DC33843 | Other | CA | CHIROPRACTOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC33843 | CA | MD | Rehabilitation Chiropractor |
| PT296606 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Monterey Spine & Joint PC | Current | 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
- kendra.glendenning.p1@direct.msjhealth.nextgenshare.com
- 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.
-
- Orthopaedic Surgery Physician
- Monterey, CA
- NPI 1881620599
-
- Orthopaedic Surgery of the Spine Physician
- Salinas, CA
- NPI 1942885835
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Monterey, CA
- NPI 1629864236
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.