Andrew Glaz

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

15430 Issued in FL

Practice address

101 E State St
Kennett Square, PA 19348-3109

Phone

(561) 506-3107

NPI assigned

Oct 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1760933105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14507 DRAFT HORSE LN",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334141031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "561-506-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZ",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "15430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Gill
• Anna Christine Gillin, DO
• Steven M Ginsburg, DO
• Mackenzie Quinn Gladfelter
• Gina Glassman, O.D.
• Glenn Paskow & Richard Rem DMD PC
• Jessica Anna Glessner, NP-C
• Christine Gongola
• Elaine Gonzalez, MD
• Leah Marie Goodnow, LCSW

• Occupational Therapy Assistant in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.