Individual provider Active NPI

Jamie Filip Glick, P.T.

  • Orthopedic Physical Therapist
  • Huntington, NY
National Provider Identifier
1477627040
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
020999 Issued in NY
Practice address
444 W Jericho Tpke
Ste a
Huntington, NY 11743-6061
Phone
(631) 659-3800
Fax
(631) 659-3798
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 020999 NY Primary

Addresses

Primary practice location

444 W Jericho Tpke
Ste a
Huntington, NY 11743-6061

Mailing address

444 W Jericho Tpke
Ste a
Huntington, NY 11743-6061
Phone (631) 659-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527001206 NY Practitioner - Physical Therapist in Private Practice 6103807896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

444 W Jericho Tpke
Suite a
Huntington, NY 11743-6061
Phone (631) 659-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020999NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glick Physical Therapy, PC CurrentSince Mar 1, 2002 Accepting new patients
Macmanus Therapy, OT, P.C. Orthopedic PastSince Mar 1, 2002 Accepting new patients

Locations

444 W Jericho Tpke
Ste A
Huntington, NY 11743
Phone (631) 569-3800

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1477627040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W JERICHO TPKE",
            "address_2": "STE A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436061",
            "telephone_number": "631-659-3800",
            "fax_number": "631-659-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W JERICHO TPKE",
            "address_2": "STE A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436061",
            "telephone_number": "631-659-3800",
            "fax_number": "631-659-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "JAMIE",
        "middle_name": "FILIP",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "020999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.