Active NPI
Elizabeth Glasbrenner
- Physical Therapist
- Raytown, MO
National Provider Identifier
1093196743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21691
- Practice address
- 7609 Crisp Ave
Raytown, MO 64138-2436 - Phone
- (816) 678-4129
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- 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 | 21691 | MA | Primary |
Addresses
Primary practice location
7609 Crisp Ave
Raytown, MO 64138-2436
Mailing address
7609 Crisp Ave
Raytown, MO 64138-2436
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21691 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1093196743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7609 CRISP AVE",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641382436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7609 CRISP AVE",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641382436",
"telephone_number": "816-678-4129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASBRENNER",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.