Individual provider Active NPI

Kevin A Glassberg, OTR/L

  • Occupational Therapist
  • Purchase, NY
National Provider Identifier
1760722136
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023429 Issued in NY
Practice address
3030 Westchester Ave
Purchase, NY 10577-2574
Phone
(914) 682-6435
Fax
(914) 681-3115
NPI assigned
Feb 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 023429 NY Primary
Occupational Therapist 225X00000X 5263 CT

Addresses

Primary practice location

3030 Westchester Ave
Purchase, NY 10577-2574

Mailing address

569 White Plains Rd
Eastchester, NY 10709-5510
Phone (914) 772-1744

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidNY
1760722136MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190417002823 NY Practitioner - Occupational Therapist in Private Practice 6305187436 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Mercy College, 2019
Medicare assignment
May accept Medicare assignment
Group practices
PT and OT for Senior Rehab at Home PLLCGroup PAC ID 2668711573, 97 clinicians
Shree Harikrushan Physical Therapy PCGroup PAC ID 0749516581, 6 clinicians

Practice addresses (Care Compare)

1 Blackstone PL
Bronx, NY 10471-3607
Phone (347) 947-3132

171 Kings Hwy
Brooklyn, NY 11223-1023
Phone (914) 837-6538

60 N Madison Ave
Spring Valley, NY 10977-4811
Phone (845) 414-9115

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5263CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC CurrentSince Apr 14, 2019 Accepting new patients
Affinity Rehabilitation LLP CurrentSince Jul 4, 2020 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Aug 20, 2023 Accepting new patients
Direct Physical Therapy PLLC CurrentSince Nov 26, 2020 Accepting new patients
Hudson in Home Physical Therapy PLLC CurrentSince Aug 31, 2023 Accepting new patients
Metro PT OT and SLP Health PLLC CurrentSince Mar 6, 2024 Accepting new patients
PT and OT for Senior Rehab at Home PLLC CurrentSince Nov 1, 2024 Accepting new patients
Shree Harikrushan Physical Therapy PC CurrentSince Jun 15, 2024 Accepting new patients
Hudson in Home Physical Therapy and Occupational Therapy PLLC CurrentSince Aug 31, 2023 Accepting new patients

Locations

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

800 E Gate Blvd
Garden City, NY 11530

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

873 Route 45
Ste 102
New City, NY 10956
Phone (845) 354-7779

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556

60 N Madison Ave
Spring Valley, NY 10977
Phone (845) 414-9115

51 Smart Ave
Ste 100
Yonkers, NY 10704
Phone (914) 804-7947

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1760722136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 WHITE PLAINS RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107095510",
            "telephone_number": "914-772-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772574",
            "telephone_number": "914-682-6435",
            "fax_number": "914-681-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSBERG",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023429",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760722136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.

Verify at the official NPI Registry.