Stephanie Adams Gleason, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37891 Issued in CA

Practice address

3975 Old Redwood Hwy Ste 152
Santa Rosa, CA 95403-1719

Phone

(707) 566-5555

NPI assigned

Jun 22, 2011

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Permanente Medical Group Inc

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• Permanente Medical Group, Inc

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• Orthopaedic and Neurological Rehab Inc

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  • Billings, MT
  • NPI 1225496540

  Physical Therapist

  NPD

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1376839910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 DANBECK AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042251",
            "telephone_number": "650-208-2278",
            "fax_number": "408-248-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 OLD REDWOOD HWY STE 152",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031719",
            "telephone_number": "707-566-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "866 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943058508",
            "country_code": "US",
            "telephone_number": "650-723-3195",
            "fax_number": "650-723-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "STEPHANIE",
        "middle_name": "ADAMS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37891",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT37891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Taylor Glaser
• Kristen Glasgow, O.D.
• Sara Kathleen Glashan, RN
• Angela Wave Glasser, LCSW
• Julie Glassmaker
• Diane C. Gleim, MA, LMFT
• Hayden Glenn
• William Glenn, MFT
• Andriya Glessner, RAS
• Alexis Katherine Glidewell, LCSW

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.