Active NPI
Shaun Joseph Glover, OTR/L
- Occupational Therapist
- Norwood, NJ
National Provider Identifier
1003076811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00416800
- Practice address
- 100 McClellen St
Norwood, NJ 07648-1555 - Phone
- (201) 768-6222
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00416800 | NJ | Primary |
| Occupational Therapist | 225X00000X | 013541-1 | NY |
Addresses
Primary practice location
100 McClellen St
Norwood, NJ 07648-1555
Mailing address
100 McClellen St
Norwood, NJ 07648-1555
Phone (201) 768-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00416800 | NJ | MD | Occupational Therapist |
| 013541-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1003076811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MCCLELLEN ST",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076481555",
"telephone_number": "201-768-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCCLELLEN ST",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076481555",
"telephone_number": "201-768-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "SHAUN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00416800",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013541-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.