Active NPI
Kenneth Lawrence Glass, PT
- Physical Therapist
- Forest City, NC
National Provider Identifier
1861508269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4131
- Practice address
- 2270 US Hwy 74a
Suite 341
Forest City, NC 28043 - Phone
- (828) 247-1588
- Fax
- (828) 247-1692
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4131 | NC | Primary |
| Physical Therapist | 225100000X | 3312 | SC | |
| Physical Therapist | 225100000X | 25431 | CA | |
| Physical Therapist | 225100000X | 3786 | OR |
Addresses
Primary practice location
2270 US Hwy 74a
Suite 341
Forest City, NC 28043
Mailing address
2270 US Hwy 74a
Suite 341
Forest City, NC 28043
Phone (828) 247-1588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3786 | OR | MD | Intellectual & Developmental Disabilities Psychologist |
| 25431 | CA | MD | Physical Therapist |
| 4131 | NC | MD | Physical Therapist |
| 3312 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutherford Hospital Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Forest City, NC
- NPI 1023199668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861508269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 US HWY 74A",
"address_2": "SUITE 341",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "28043",
"telephone_number": "828-247-1588",
"fax_number": "828-247-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 US HWY 74A",
"address_2": "SUITE 341",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "28043",
"telephone_number": "828-247-1588",
"fax_number": "828-247-1692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "KENNETH",
"middle_name": "LAWRENCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4131",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3312",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "25431",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3786",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.