Individual provider Active NPI

Sheri Leigh Grossglass, MPT

  • Physical Therapist
  • Riverview, FL
National Provider Identifier
1023224862
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18434 Issued in FL
Practice address
3904 Bellewater Blvd
Riverview, FL 33569-3106
Phone
(813) 626-4266
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT18434 FL Primary

Addresses

Primary practice location

3904 Bellewater Blvd
Riverview, FL 33569-3106

Mailing address

47 Camelot Ridge Dr
Brandon, FL 33511-8099
Phone (813) 626-4266

Other identifiers 1

IdentifierTypeStateIssuer
890518500MedicaidFL

Other names 1

  • Mrs. Sheri Leigh Glass Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000618 FL Practitioner - Physical Therapist in Private Practice 6002083839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18434FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Orthopedic Rehabilitation, Inc. Physical Therapist PastSince Jun 19, 2003 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1023224862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAMELOT RIDGE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118099",
            "telephone_number": "813-626-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 BELLEWATER BLVD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335693106",
            "telephone_number": "813-626-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSGLASS",
        "first_name": "SHERI",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890518500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "GLASS",
            "middle_name": "LEIGH",
            "prefix": "MRS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.