Active NPI
Triston Stavros Glynos, PT
- Physical Therapist
- Scotch Plains, NJ
National Provider Identifier
1265403224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00939500
- Practice address
- 403 Park Ave
Scotch Plains, NJ 07076-1759 - Phone
- (908) 322-3202
- Fax
- (908) 322-3252
- NPI assigned
- Jan 29, 2006
- Sex
- Male
- 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 | 40QA00939500 | NJ | Primary |
Addresses
Primary practice location
403 Park Ave
Scotch Plains, NJ 07076-1759
Mailing address
373 Park Ave
Scotch Plains, NJ 07076-1152
Phone (908) 322-3202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
373 Park Ave
Scotch Plains, NJ 07076-1152
Phone (908) 322-3202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00939500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Motion, L.L.C | Physical Therapist | Current | Accepting new patients |
| Next Step Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
409B Park Ave
Scotch Plains, NJ 07076
Phone (908) 322-3202
373 Park Ave
Scotch Plains, NJ 07076
Phone (908) 322-3202
Organizations & group practices 2
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.
-
- Physical Therapist
- Scotch Plains, NJ
- NPI 1619948676
-
- Physical Therapist
- Springfield, NJ
- NPI 1619915162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1265403224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 PARK AVE",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761152",
"telephone_number": "908-322-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 PARK AVE",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761759",
"telephone_number": "908-322-3202",
"fax_number": "908-322-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYNOS",
"first_name": "TRISTON",
"middle_name": "STAVROS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-29",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00939500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.