Individual provider Active NPI

Jason Samuel Glikman, DPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1326497900
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25967 Issued in MD
Practice address
9707 Medical Center Dr
Suite 330
Rockville, MD 20850-3348
Phone
(301) 444-4090
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25967 MD Primary

Addresses

Primary practice location

9707 Medical Center Dr
Suite 330
Rockville, MD 20850-3348

Mailing address

9707 Medical Center Dr
Suite 330
Rockville, MD 20850-3348
Phone (301) 444-4090

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
25967MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy, LLC Physical Therapist PastSince Dec 6, 2020 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1326497900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-444-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-444-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIKMAN",
        "first_name": "JASON",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.