Active NPI
Robert Paul Glass III, DPT
- Physical Therapist
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01620300
- Practice address
- 207 Laurel Rd
Voorhees, NJ 08043-2317 - Phone
- (856) 772-9400
- NPI assigned
- Mar 1, 2022
- Sex
- Male
- 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 | 40QA01620300 | NJ | Primary |
Addresses
Primary practice location
207 Laurel Rd
Voorhees, NJ 08043-2317
Mailing address
12 Edinburgh Rd
Blackwood, NJ 08012-4526
Phone (856) 905-7075
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.brookdale.com/en.html | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Patient Care Specialty Group PC | Physical Therapist | Current | Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
26 Main St
Edison, NJ 08837
Phone (609) 385-2622
1 Holtec Dr
Ste 203
Marlton, NJ 08053
Phone (856) 874-7800
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
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.
-
- Family Medicine Physician
- Edison, NJ
- NPI 1477213106
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1720734502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 EDINBURGH RD",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080124526",
"telephone_number": "856-905-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 LAUREL RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432317",
"telephone_number": "856-772-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "ROBERT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01620300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.brookdale.com/en.html",
"affiliation": "N",
"endpointDescription": "Assisted Living Facility",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "207 Laurel Rd",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080432317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.