Nicole Elizabeth Glidden, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3372 Issued in ME

Practice address

18 Hunters Way
North Yarmouth, ME 04097-6761

Phone

(901) 692-3395

NPI assigned

Jan 30, 2008

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Elizabeth Gleason Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Vermont College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, 137 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapist
  • Saco, ME
  • NPI 1346254315
  Medicare reassignment Care Compare group NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1396312807
  NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  dba Saco Bay Orthopaedic & Sports Physical Therapy

  • Physical Therapy Clinic/Center
  • Freeport, ME
  • NPI 1861074296
  NPD

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1821275017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 GORHAM RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749558",
            "telephone_number": "901-692-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HUNTERS WAY",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "040976761",
            "telephone_number": "901-692-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDDEN",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7682",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "3372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GLEASON",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bright Side Speech and Language Therapy LLC
• Center for Collaborative Family Therapy, PLLC
• Kristy Del Coro, MS, RDN
• Griffin R Devine
• Joseph Richard Fitzpatrick, PSYD
• Lisa Nada Glines, L.M.T.
• Russell P Graham
• S Kimble Greene, PHD
• Hosanah Care
• Emily Lou Isom, M.S. CCC-SLP

• Physical Therapist in North Yarmouth, ME
• Providers in North Yarmouth, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.