Tanisha Nicole Glover, LRT, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

601 Perryville Dr
Perry Point, MD 21902-1111

Phone

(410) 642-2411

NPI assigned

Apr 16, 2021

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Baltimore Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Perry Point, MD
  • NPI 1972551596
  NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1629659222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S BALL ST APT 530",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024444",
            "telephone_number": "919-438-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PERRYVILLE DR",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021111",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "TANISHA",
        "middle_name": "NICOLE",
        "credential": "LRT, CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia C Fox, PHD
• Robert Emil Gardner, M.ED
• Johnnie M. Gatling
• Lindsey Giles
• Peter Clarke Glover, DPT
• Pamela Grant, PA-C
• Ashley Greer, PH.D.
• Jessica Grossmann, PHD
• Stanley Walter Gutowski Jr., RPH.
• Sarah B Hansel, PH.D.

• Recreation Therapist in Perry Point, MD
• Providers in Perry Point, MD by specialty
• Recreation Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.