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MR. GLENN ALLAN CONDON PT
NPI 1902957699
Physical Therapist - Pediatrics in Flagstaff, AZ

Active since January 16, 2007
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 773-2054(928) 773-2286 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Glenn Allan Condon Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLENN ALLAN CONDON PT (NPI 1902957699) is an individual pediatrics provider in Flagstaff, Arizona, licensed in Arizona (1581) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902957699
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameMR. GLENN ALLAN CONDONCredential: PT
Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 773-2054 · Fax (928) 773-2286
Phone(928) 773-2054
Fax(928) 773-2286
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902957699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in AZ · 1581
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1200 N BEAVER ST, Flagstaff, AZ 86001
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Other Identifiers 1

Other001581AZ · Pt License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY NIELSEN M.D.
Anesthesiology
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
DR. SEAN DANIEL WOODS M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2112
ELIZABETH GILMORE CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
TANYA LEE MORGAN TWEED RDN
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2441
THOMAS MATTHEW REEVE MD
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (210) 464-7442
MS. SUSAN POMEROY BASSETT M.S.
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Coconino County (928) 214-3728
DR. ALI I RAJA MD, MSC
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
LEAH MARIE COFFMAN PAUL CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366

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 Glenn Condon's NPI number?

The NPI number for Glenn Condon is 1902957699. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Glenn Condon located?

Glenn Condon practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 773-2054.

What is Glenn Condon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Glenn Condon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.