Glenn David Prettitore, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA00989800 Issued in NJ

Practice address

233 Rock Rd
#236
Glen Rock, NJ 07452-1708

Phone

(201) 345-7044

Fax

(201) 345-7062

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Rebound Group, LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1346561487
  Medicare reassignment NPD Authorized official
• Peak Home Based Rehabilitation LLC

  • Specialist
  • Oradell, NJ
  • NPI 1285643130

  Orthopedic

  NPD (past)
• Twin Boro Physical Therapy Associates PA

  • Physical Therapist
  • Clark, NJ
  • NPI 1811937527
  NPD (past)
• Twin Boro Physical Therapy Associates, PA

  • Occupational Therapist
  • Newark, NJ
  • NPI 1659874857
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1083663926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ROCK RD",
            "address_2": "#236",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521708",
            "telephone_number": "201-345-7044",
            "fax_number": "201-345-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ROCK RD",
            "address_2": "#236",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521708",
            "telephone_number": "201-345-7044",
            "fax_number": "201-345-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETTITORE",
        "first_name": "GLENN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00989800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCARE PROVIDER NUMBER",
            "identifier": "058169",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plus Acupuncture & Herbs LLC
• Phillip John Polentarutti, DPT
• Tara Porfido, DPT
• Almerindo G. Portfolio Jr., M.D.
• Karllo Pozo, PT, DPT
• Professional Occupational & Physical Therapy, PLLC
• Progressive Spine & Orthopaedics, LLC
• Progressive Spine and Sports Medicine
• Psota Chiropractic Care and Wellness PC
• Nicole Psota

• Orthopedic Physical Therapist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.