Glasson Sports Medicine PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GLASSON SPORTS MEDICINE PC

Practice address

968 First Colonial Rd
Suite 101
Virginia Beach, VA 23454-3171

Phone

(757) 412-1005

Fax

(757) 412-1015

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Sandra Elise Glasson, M.D.

Title

President

Phone

(757) 412-1005

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Shawn R Rosengrant, DPT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1548597750
  NPD (past)
• Christine K Voigt, ATC

  • Athletic Trainer
  • Virginia Beach, VA
  • NPI 1336401272
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1366560229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844560",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022844560",
            "telephone_number": "757-412-1005",
            "fax_number": "757-412-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 FIRST COLONIAL RD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543171",
            "telephone_number": "757-412-1005",
            "fax_number": "757-412-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSON SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "GLASSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-412-1005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6409351",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myron David Gladstone, DDS
• Glass and Henry PC
• Lynessa Glass, LPC, LMFT
• Marti J Glass, PHD, LPC
• Timothy Ryan Glass, DDS, MS
• Sandra E. Glasson, MD
• Ellen Gleason, CCC-SLP
• Treasure Gleaves
• Ruth Glemaud
• Jacqueline Renee Glenn

• Specialist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.