Individual provider Active NPI

Glenn Terry

  • Physical Therapist
  • Montville, NJ
National Provider Identifier
1881113702
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01754800 Issued in NJ
Practice address
2 Changebridge Rd
Montville, NJ 07045-8947
Phone
(973) 917-3134
NPI assigned
Sep 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01754800 NJ Primary

Addresses

Primary practice location

2 Changebridge Rd
Montville, NJ 07045-8947

Mailing address

2 Changebridge Rd
Montville, NJ 07045-8947
Phone (973) 917-3134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171122002585 NJ Practitioner - Physical Therapist in Private Practice 6406113687 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montville Physical Therapy, PCGroup PAC ID 0244398030, 14 clinicians
The New Jersey Center of Physical Therapy, PCGroup PAC ID 0042205023, 19 clinicians

Practice addresses (Care Compare)

2 Changebridge Rd
F
Montville, NJ 07045-8947
Phone (973) 917-3134

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Phone (973) 248-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The New Jersey Center of Physical Therapy, PC Physical Therapist CurrentSince Oct 22, 2021 Accepting new patients
Montville Physical Therapy, PC CurrentSince Apr 5, 2019 Accepting new patients
Wayne Orthopedic Physical Therapy, PC Physical Therapist CurrentSince Oct 22, 2021 Accepting new patients
Paramus Orthopedic Physical Therapy, PC Physical Therapist CurrentSince Oct 22, 2021 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2017 Accepting new patients
Wayne Foot and Ankle Center,PA PastSince Oct 22, 2021 Accepting new patients
Paramus Orthopedic Physical Therapy PastSince Oct 22, 2021 Accepting new patients
Jag-One Physical Therapy, LLC PastSince Sep 8, 2017 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

461 Main St
Chatham, NJ 07928
Phone (973) 635-1000

2 Changebridge Rd
Ste F
Montville, NJ 07045
Phone (973) 917-3134

2 Changebridge Rd
#F
Montville, NJ 07045
Phone (973) 917-3134

28 Farview Ter
Paramus, NJ 07652
Phone (201) 880-9810

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

69 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 248-8111

450 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 706-7620

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

622 Eagle Rock Ave
Ste 2
West Orange, NJ 07052

Organizations & group practices 8

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1881113702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHANGEBRIDGE RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458947",
            "telephone_number": "973-917-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHANGEBRIDGE RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458947",
            "telephone_number": "973-917-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "GLENN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01754800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.