Active NPI
Alayne F Glass, P.T.
- Physical Therapist
- Pittsfield, MA
National Provider Identifier
1609852706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05120
- Practice address
- 740 Williams St
Pittsfield, MA 01201-7463 - Phone
- (413) 447-8070
- Fax
- (413) 445-4918
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05120 | MA | Primary |
Addresses
Primary practice location
740 Williams St
Pittsfield, MA 01201-7463
Mailing address
PO Box 121
Old Chatham, NY 12136-0121
Phone (518) 794-9841
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0393223 | Medicaid | MA | |
| 10078469 | Other | MA | CDPHP |
| GLY65410 | Other | MA | BCBS OF MASSACHUSETTS |
| 435802 | Other | MA | MVP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05120 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Associates of Schenectady, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Ballston Spa, NY
- NPI 1225346448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609852706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121",
"city": "OLD CHATHAM",
"state": "NY",
"postal_code": "121360121",
"telephone_number": "518-794-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 WILLIAMS ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012017463",
"telephone_number": "413-447-8070",
"fax_number": "413-445-4918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "ALAYNE",
"middle_name": "F",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "05120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0393223",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10078469",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASSACHUSETTS",
"identifier": "GLY65410",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "435802",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.