Active NPI
Kerrie Lynn Lyons-Glassman, MS, PT
- Physical Therapist
- Poughkeepsie, NY
National Provider Identifier
1396086765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021890-1
- Practice address
- 1910 South Rd
Poughkeepsie, NY 12601-6053 - Phone
- (845) 454-8377
- NPI assigned
- Mar 11, 2013
- Last updated
- May 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009435 | CT | |
| Physical Therapist | 225100000X | 021890-1 | NY | Primary |
Addresses
Primary practice location
1910 South Rd
Poughkeepsie, NY 12601-6053
Mailing address
PO Box 416501
Boston, MA 02241-6501
Phone (914) 294-4050
Other practice location 1
31 Pecks Ln
Unit 3, Attention Kerrie Glassman
Newtown, CT 06470-5312
Phone (203) 885-2807
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009435 | CT | MD | Dentist |
| 021890-1 | NY | MD | Physical Therapist |
| 021890 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1396086765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416501",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416501",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 SOUTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126016053",
"telephone_number": "845-454-8377"
}
],
"practiceLocations": [
{
"address_1": "31 Pecks Ln",
"address_2": "Unit 3, Attention Kerrie Glassman",
"address_purpose": "LOCATION",
"city": "Newtown",
"state": "CT",
"postal_code": "064705312",
"country_code": "US",
"telephone_number": "203-885-2807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS-GLASSMAN",
"first_name": "KERRIE",
"middle_name": "LYNN",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-11",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009435",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021890-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.