Alisa Suzanne Glick, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

020232 Issued in NY

Practice address

1 Sheldon PL
Commack, NY 11725-3216

Phone

(631) 499-0414

Fax

(631) 499-0414

NPI assigned

Nov 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Glick Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Huntington, NY
  • NPI 1417077579
  NPD (past)
• Macmanus Therapy, OT, P.C.

  • Neurorehabilitation Occupational Therapist
  • Huntington, NY
  • NPI 1710498779

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174697742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHELDON PL",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253216",
            "telephone_number": "631-499-0414",
            "fax_number": "631-499-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHELDON PL",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253216",
            "telephone_number": "631-499-0414",
            "fax_number": "631-499-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "ALISA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "020232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronni Glass, AU.D.
• Morton L Glassel, LCSW
• Paul L Glasser, D.D.S.
• Ilene S Glatman
• Glen R. Kreitzberg D.D.S.,P.C.
• Charles W. Gluck, LCSW-R
• Mary Gnieser, LCSW
• Dakota Godek
• Gold Coast Dermatology PC
• Gold Coast Physical Therapist and Physical Therapy Assistant PLLC

• Pediatric Physical Therapist in Commack, NY
• Providers in Commack, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.