Brian Keith Glover, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

022612 Issued in NY

Practice address

3620 Harlem Rd Ste 2
Cheektowaga, NY 14215-2042

Phone

(716) 446-9500

Fax

(716) 446-9501

NPI assigned

Aug 17, 2005

Last updated

Sep 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Buffalo School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Glover Physical Therapy, PLLC

  • Physical Therapist
  • Cheektowaga, NY
  • NPI 1407034259
  Medicare reassignment NPD Authorized official
• Glover Physical Therapy

  • Physical Therapy Clinic/Center
  • Cheektowaga, NY
  • NPI 1578018255
  Authorized official Same address or phone
• Giannettino Chiropractic PC

  • Chiropractor
  • Niagara Falls, NY
  • NPI 1801132832
  NPD (past)
• Kalaiselvi Rajendran, M.D.

  • Psychiatry Physician
  • Niagra Falls, NY
  • NPI 1093083222
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1447242342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HARLEM RD STE 2",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142152042",
            "telephone_number": "716-446-9500",
            "fax_number": "716-446-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HARLEM RD STE 2",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142152042",
            "telephone_number": "716-446-9500",
            "fax_number": "716-446-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "022612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000626742002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE/PALMETTO GBA",
            "identifier": "P00173532",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02167366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Glen, LPN
• Sydnie Glinski
• Allison Gliss
• Glover Physical Therapy
• Glover Physical Therapy, PLLC
• Melissa Jean Glowacki, MSW
• Charlene Gmerek
• Nicole M Golding
• Goldstein Dental
• Marcia Helen Goldstein, RPH

• Specialist in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.