Active NPI
Grant Glass, PT
- Physical Therapist
- Reno, NV
National Provider Identifier
1023435658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1509
- Practice address
- 1699 S Virginia St Ste 101
Reno, NV 89502-2834 - Phone
- (775) 322-4555
- NPI assigned
- Mar 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1509 | NV | Primary |
Addresses
Primary practice location
1699 S Virginia St Ste 101
Reno, NV 89502-2834
Mailing address
16560 Wedge Pkwy Ste 200-a
Reno, NV 89511-3318
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1023435658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16560 WEDGE PKWY STE 200-A",
"city": "RENO",
"state": "NV",
"postal_code": "895113318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1699 S VIRGINIA ST STE 101",
"city": "RENO",
"state": "NV",
"postal_code": "895022834",
"telephone_number": "775-322-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "GRANT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-20",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.