Chelsea L Glomb

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034018-1 Issued in NY

Practice address

1005 W. Fayette St
Syracuse, NY 13204

Phone

(315) 422-0378

NPI assigned

Jan 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Chelsea L Foss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1467723874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W. FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13204",
            "telephone_number": "315-422-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W. FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13204",
            "telephone_number": "315-422-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOMB",
        "first_name": "CHELSEA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034018-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "FOSS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail Ryan Gleason, LCSW
• Kathryn Glenwright, LMSW
• Matthew G Glidden, MD
• Tracey Gilgallon Glidden, LCSW
• Global Blue Products & Services, LLC
• Megan Marie Canale Glor, PA-C
• Arielle N Glott, LMHC
• Glottal Enterprises
• Heidi Glovack, CRNA
• Jakwontez L Glover

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.