Glenn Barditch, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21474 Issued in FL

Practice address

7000 SW 62ND Ave
Suite 120
South Miami, FL 33143-4716

Phone

(305) 666-7116

Fax

(305) 665-6069

NPI assigned

Jul 11, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• South Miami Sports Medicine Inc.

  • Exclusive Provider Organization
  • South Miami, FL
  • NPI 1013211705
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1033318027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 SW 108TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763451",
            "telephone_number": "305-271-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE",
            "address_2": "SUITE 120",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434716",
            "telephone_number": "305-666-7116",
            "fax_number": "305-665-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDITCH",
        "first_name": "GLENN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptist Sleep Centers LLC
• Baptist Sleep Centers of South Florida LLC
• Baptist Surgery and Endoscopy Centers LLC (Medical Arts Surgery Center at South Miami)
• Frederick A Bardi
• Armando Bardisa, PHARM.D.
• Anthony Bared, MD
• Sydney Kristina Barfield, APRN, PMHNP-BC
• David Jason Barkoe, M.D.
• Melissa Barosela
• Ruth Dalila Barquero, NP

• Physical Therapist in South Miami, FL
• Providers in South Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.