DR. GLEN JUNIOR FOREMAN PT, DPT, LAT, ATC
NPI 1780121012
Physical Therapist - Orthopedic in Avon, CT
About Dr. Glen Junior Foreman Pt, Dpt, Lat, Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLEN JUNIOR FOREMAN PT, DPT, LAT, ATC (NPI 1780121012) is an individual orthopedic provider in Avon, Connecticut, licensed in Connecticut (14.013794) and active in the NPI registry since January 2017. He is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Glen Junior Foreman Pt, Dpt, Lat, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Glen Foreman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Old Greenwich, CT 06870
- Reassigned Medicare billing, Connecticut enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Glen Foreman's NPI number?
The NPI number for Glen Foreman is 1780121012. It was assigned to this individual provider in the NPPES registry on January 25, 2017.
Where is Glen Foreman located?
Glen Foreman practices at 60 Market St Ste 130, Avon, CT 06001. The listed phone number is (860) 703-8505.
What is Glen Foreman's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Glen Foreman enrolled in Medicare?
Yes. Glen Foreman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Glen Foreman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glen Foreman reassigns Medicare benefits to Ivyrehab Connecticut, Inc. (Old Greenwich, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glen Foreman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glen Foreman accept?
Health plans from Anthem Blue Cross and Blue Shield list Glen Foreman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Glen Foreman was last updated on April 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Glen Junior Foreman, PT, DPT, LAT, ATC · NPI 1780121012
Orthopedic provider in Avon, Connecticut. Individual provider, active in the CMS NPPES registry since January 25, 2017.
## Identity
- **NPI:** 1780121012 (Entity type: Individual)
- **Enumerated:** January 25, 2017
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 14.013794 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 60 MARKET ST STE 130, Avon, CT 06001-4282
- **Phone:** (860) 703-8505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Ivyrehab Connecticut, Inc. (NPI 1265799365, Old Greenwich, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780121012) · Data from the CMS NPPES public registry.