Andrea Marie Glass, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06006410A Issued in IN

Practice address

10767 Illinois St
Carmel, IN 46032-8972

Phone

(317) 817-1200

NPI assigned

Feb 21, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1710632500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16665 GREENSBORO DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748036",
            "telephone_number": "260-415-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10767 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328972",
            "telephone_number": "317-817-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Pennsylvania Pkwy",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462802301",
            "country_code": "US",
            "telephone_number": "317-817-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06006410A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST ASSISTANT LICENSE",
            "identifier": "06006410A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darla Gipson, PTA
• Morgan Machledt Girard, MA, ATR-BC. LMHC
• Eric A Girardot, PA-C
• Aaron Girt, PHARM. D.
• Shehanai Girt, PHARMD
• Constance Lynn Glass, MD
• Susan Lynn Glassburn, LCSW
• Erin Gleason
• Grace Gliva
• Gocare Home Health Services LLC

• Physical Therapy Assistant in Carmel, IN
• Providers in Carmel, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.