Cathy Anne Glass

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

6721 County Road 248
O Brien, FL 32071-4139

Phone

(386) 935-2263

Fax

(386) 935-2263

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1114127339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 COUNTY ROAD 248",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "320714139",
            "telephone_number": "386-935-2263",
            "fax_number": "386-935-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 COUNTY ROAD 248",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "320714139",
            "telephone_number": "386-935-2263",
            "fax_number": "386-935-2263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17405 89th Road",
            "address_purpose": "LOCATION",
            "city": "Mc Alpin",
            "state": "FL",
            "postal_code": "320620071",
            "country_code": "US",
            "telephone_number": "386-330-2263",
            "fax_number": "386-330-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CATHY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811832900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmental Therapist in O Brien, FL
• Providers in O Brien, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.