Sherrie Glasser Physical Therapy John Douglas Physical Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

License

005253-1 Issued in NY

Legal business name

SHERRIE GLASSER PHYSICAL THERAPY JOHN DOUGLAS PHYSICAL THERAPY

Doing business as

Metro Comprehensive Physical & Aquatic Therapy

Practice address

745 Rte 25a
Rocky Point, NY 11778

Phone

(516) 454-6387

Fax

(516) 454-6303

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

John Douglas, PTA

Title

Admin. Director

Phone

(516) 454-6387

Specialties & licenses 1

Addresses

Other names 1

• Metro Comprehensive Physical & Aquatic Therapy Doing business as

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467670331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N BROADWAY",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581802",
            "telephone_number": "516-454-6387",
            "fax_number": "516-454-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 RTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "11778",
            "telephone_number": "516-454-6387",
            "fax_number": "516-454-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIE GLASSER PHYSICAL THERAPY JOHN DOUGLAS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMIN. DIRECTOR",
        "authorized_official_telephone_number": "516-454-6387",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "005253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Comprehensive Physical & Aquatic Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Marie Scofield, LPN
• Jill M Setaro, ACNS-BC
• Victoria Elena Shack, DDS
• Maureen T. Shea, PH.D.
• Scott C Sherman, MD
• Carol Anne Sherwood, LCSW
• Su Ah Shin
• Karen Dianne Shurtluff, R.N.
• Renee Siebert
• Kimberly Ann Singer, MS CCC SLP

• Specialist in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.