Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn Berry

Individual provider Physical Therapist · NPI 1376878108

Glenn Berry is a Physical Therapist in Private Practice in Ada, Oklahoma. Qualified in 2009, 17 years ago. Practices with Chickasaw Nation Division of Health, a 243-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying
17
Licensed in
MO, OK
In the registry since
2009
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1921 Stonecipher Blvd
Ada, OK 74820
Phone: (580) 436-3980
Fax: (580) 421-6283
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4288 (OK)
Physical Therapist Taxonomy 225100000X · Licence 2009025549 (MO)

Record details

NPI number1376878108
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2009
Last updated in NPPESJuly 9, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Chickasaw Nation Division Of Health — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ada