NPIMap

Organization Active NPI

Sherrie Glasser Physical Therapy/John Douglas Pta

  • Specialist
  • Nesconset, NY
National Provider Identifier
1205019403
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
005253-1 Issued in NY
Legal business name
SHERRIE GLASSER PHYSICAL THERAPY/JOHN DOUGLAS PTA
Practice address
5 Browns Rd
Nesconset, NY 11767
Phone
(631) 849-6000
Fax
(631) 849-6002
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Sherrie Glasser, MS, PT
Title
Physical Therapy Director
Phone
(516) 454-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 005253-1 NY Primary

Addresses

Primary practice location

5 Browns Rd
Nesconset, NY 11767

Mailing address

18 Hamilton PL
Lake Grove, NY 11755-1915
Phone (516) 454-6387

Other identifiers 8

IdentifierTypeStateIssuer
0642670OtherNYCIGNA
6699092OtherNYGHI
A3613201OtherNYOXFORD
76643OtherNYVYTRA
5C7306OtherNYHEALTHNET
021665SOtherNYHEALTHCARE PARTNERS
3422589OtherNYAETNA
AZ00688OtherNYMDNY

Other names 1

  • Metro Comprehensive Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2140 Bellmore Ave
Ste 2
Bellmore, NY 11710
Phone (516) 867-2300

1991 Merrick Rd
Metro Comprehensive Physcl Aquatic Therpy
Merrick, NY 11566
Phone (516) 867-2300

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1205019403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAMILTON PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551915",
            "telephone_number": "516-454-6387",
            "fax_number": "516-454-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BROWNS RD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "11767",
            "telephone_number": "631-849-6000",
            "fax_number": "631-849-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIE GLASSER PHYSICAL THERAPY/JOHN DOUGLAS PTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY DIRECTOR",
        "authorized_official_telephone_number": "516-454-6387",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "005253-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0642670",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6699092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A3613201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "76643",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "5C7306",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE PARTNERS",
            "identifier": "021665S",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3422589",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AZ00688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Comprehensive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.