Individual provider Active NPI

Shelby Renee Glasser, PT, DPT

  • Physical Therapist
  • Newbury Park, CA
National Provider Identifier
1326854878
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307378 Issued in CA
Practice address
177 N Reino Rd
Newbury Park, CA 91320-3710
Phone
(805) 586-0290
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 307378 CA Primary

Addresses

Primary practice location

177 N Reino Rd
Newbury Park, CA 91320-3710

Mailing address

1887 Guilford Cir
Thousand Oaks, CA 91360-3219
Phone (805) 338-9786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122003645 CA Practitioner - Physical Therapist in Private Practice 1557890415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartley Physical Therapy PCGroup PAC ID 9133306723, 12 clinicians

Practice addresses (Care Compare)

2166 N Moorpark Rd
Suite 200
Thousand Oaks, CA 91360-5009
Phone (805) 370-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Dec 17, 2024 Accepting new patients
Bartley Physical Therapy PC Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Dec 17, 2024 Accepting new patients

Locations

231 Camarillo Ranch Rd
Ste B
Camarillo, CA 93012
Phone (805) 484-2026

177 N Reino Rd
Newbury Park, CA 91320
Phone (805) 586-0290

2166 N Moorpark Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 370-1020

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

Organizations & group practices 3

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": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1326854878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 GUILFORD CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603219",
            "telephone_number": "805-338-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N REINO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203710",
            "telephone_number": "805-586-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "SHELBY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.

Verify at the official NPI Registry.