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

Dr. Glen Junior Foreman, PT, DPT, LAT, ATC

Individual provider Orthopedic Physical Therapist · NPI 1780121012

Dr. Glen Junior Foreman, PT, DPT, LAT, ATC is a Physical Therapist in Private Practice in Avon, Connecticut. Qualified in 2022, 4 years ago. Practices with Ivyrehab Connecticut Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

60 Market St Ste 130
Avon, CT 06001-4282
Phone: (860) 703-8505
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 14.013794 (CT)

Record details

NPI number1780121012
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , LAT , ATC
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESApril 9, 2023
Certification dateApril 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ivyrehab Connecticut Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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