Active NPI
Venise Mule-Glass, PT
- Physical Therapist
- Commack, NY
National Provider Identifier
1720061773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5744-1
- Practice address
- 297 Commack Rd
Commack, NY 11725-3401 - Phone
- (631) 499-1038
- Fax
- (631) 499-2293
- NPI assigned
- Nov 23, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5744-1 | NY | Primary |
| Neurology Physical Therapist | 2251N0400X | 5744-1 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 5744-1 | NY |
Addresses
Primary practice location
297 Commack Rd
Commack, NY 11725-3401
Mailing address
297 Commack Rd
Commack, NY 11725-3401
Phone (631) 499-1038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
297 Commack Rd
Commack, NY 11725-3431
Phone (631) 499-1038
Merit-based Incentive Payment System (MIPS)
- Final score
- 83 of 100
- Quality
- 74.88
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5744-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
297 Commack Rd
Commack, NY 11725
Phone (631) 499-1038
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
- Commack, NY
- NPI 1063457661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1720061773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253401",
"telephone_number": "631-499-1038",
"fax_number": "631-499-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253401",
"telephone_number": "631-499-1038",
"fax_number": "631-499-2293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULE-GLASS",
"first_name": "VENISE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "5744-1",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "5744-1",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "5744-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.