Glen E Duncan Jr., M.P.T.
Individual provider Active NPI Physical Therapist · Sanger, CA
NPI 1891828836 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1891828836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT21282 (CA)
- Practice address
- 2315 Jensen Ave Ste 102
Sanger, CA 93657-2683 - Phone
- (559) 875-2220
- Fax
- (559) 399-3074
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2315 Jensen Ave
Suite 102
Sanger, CA 93657-2234
Phone (559) 875-2220
2570 Jensen Ave
Suite 108
Sanger, CA 93657-2269
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000734 | CA | Practitioner - Physical Therapist in Private Practice | 9537126149 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21282 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanger Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Troxell Physical Therapy and Wellness Inc. | Physical Therapist | Past |
Accepting new patients |
| McGuire Physical Therapy, Inc. | Physical Therapist | Past |
Accepting new patients |
Locations
2315 Jensen Ave
Ste 102
Sanger, CA 93657
Phone (559) 875-2220
2570 Jensen Ave
Ste 113
Sanger, CA 93657
Phone (559) 875-2220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT21282 | CA | |
| Physical Therapist | 225100000X | PT21282 | CA | Yes |
Addresses
Primary practice location
2315 Jensen Ave Ste 102
Sanger, CA 93657-2683
Mailing address
2315 Jensen Ave Ste 102
Sanger, CA 93657-2683
Phone (559) 875-2220
Other providers in Sanger, CA
- Maria Lourdes Briz Dimatera
- Donald T Negri OD Inc
- Dr. Soghomonian'S Medical Clinic, Inc.
- Drug Pharm Inc
- Sandra Duarte Duarte
- Dycora Transitional Health - Sanger LLC
- Sharon Eggert I
- El Portal Pharmacy
- Elim Place, Inc.
- Leonel Espinoza
All providers in Sanger, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.