Glen Neal Waldron, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1794 Issued in NV

Practice address

1775 Browning Way
Ste 203
Elko, NV 89801-8335

Phone

(775) 738-4494

Fax

(775) 777-3192

NPI assigned

Mar 24, 2006

Last updated

Apr 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Pinion Rehabilitation, LLC

  • Physical Therapist
  • Elko, NV
  • NPI 1497985048
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1992765960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BROWNING WAY",
            "address_2": "STE 203",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018335",
            "telephone_number": "775-738-4494",
            "fax_number": "775-777-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BROWNING WAY",
            "address_2": "STE 203",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018335",
            "telephone_number": "775-738-4494",
            "fax_number": "775-777-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "GLEN",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00819160",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Jacob Volk, PHARMD
• Jacqueline A Volkmann, LCSW
• Rainie Wakefield, RN
• Wal-Mart Stores, Inc (Vision Center 30-2402)
• Allyson C Waldron, DNP, APRN, FNP-BC
• Walgreen Co (Walgreens #13809)
• Ashley Walker
• Celeste Marie Walkos, CNP
• Shaune Wallace, OD
• Walmart Inc. (Wal-Mart Pharmacy 10-2402)

• Physical Therapist in Elko, NV
• Providers in Elko, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.