Glyn Elizabeth Lasater, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007909 Issued in CT

Practice address

131 Boston Post Rd.
East Lyme, CT 06333

Phone

(860) 739-4497

Fax

(860) 739-7256

NPI assigned

Jan 18, 2007

Last updated

Sep 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Glyn Elizabeth Johnson Former name

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.

• Shoreline Physical Therapy, LLC

  • Physical Therapist
  • East Lyme, CT
  • NPI 1841489168
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1083766026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BOSTON POST RD.",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "06333",
            "telephone_number": "860-739-4497",
            "fax_number": "860-739-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BOSTON POST RD.",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "06333",
            "telephone_number": "860-739-4497",
            "fax_number": "860-739-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASATER",
        "first_name": "GLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLYN",
            "last_name": "JOHNSON",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Krewsky
• Michael S Kurjan, LCSW
• Christopher Zbigniew Lachowski, D.C.
• Lakeview Counseling
• Jeffrey H Lane, M.D.
• Allison Lawry, PHARMD
• Kerri Legg, RDH
• Christopher Lento, D.M.D.
• Robert E Levin, MD
• Samantha Mary Lewis, BCBA

• Physical Therapist in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.