Active NPI
Sarah Rose Glick, DPT
- Physical Therapy Clinic/Center
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT32707
- Practice address
- 1475 NW 12TH Ave
Miami, FL 33136-1002 - Phone
- (305) 243-8500
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | PT32707 | FL | Primary |
Addresses
Primary practice location
1475 NW 12TH Ave
Miami, FL 33136-1002
Mailing address
185 SE 14TH Ter Apt 906
Miami, FL 33131-3415
Phone (847) 691-6047
Other practice location 1
8932 SW 97th Ave
Miami, FL 33176-1936
Phone (305) 270-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
997 N Corporate Cir
Suite B
Grayslake, IL 60030-7822
Phone (847) 223-8001
997 N Corporate Cir B
Grayslake, IL 60030-7822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32707 | FL | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grayslake Rehabilitation and Complete Physical Therapy LLC | Physical Therapy | Current | Accepting new patients |
| Caitlin Chandran MSN, Aprn-Fpa, FNP-BC PLLC | Physical Therapy | Past | Accepting new patients |
Locations
997 N Corporate Cir
Ste B
Grayslake, IL 60030
Phone (847) 223-8001
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.
-
- Physical Therapy Clinic/Center
- Grayslake, IL
- NPI 1982726683
-
- Primary Care Clinic/Center
- Grayslake, IL
- NPI 1316661036
Physical Therapy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1720501141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SE 14TH TER APT 906",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313415",
"telephone_number": "847-691-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-8500"
}
],
"practiceLocations": [
{
"address_1": "8932 SW 97th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331761936",
"country_code": "US",
"telephone_number": "305-270-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLICK",
"first_name": "SARAH",
"middle_name": "ROSE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT32707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.