Active NPI
Joshua M Glaser, DPT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1801458732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-06211
- Practice address
- 4515 E Central Ave Ste a
Wichita, KS 67208-3915 - Phone
- (316) 260-6869
- Fax
- (316) 260-6872
- NPI assigned
- Jul 1, 2019
- Last updated
- Jul 1, 2019
- 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 | 11-06211 | KS | Primary |
Addresses
Primary practice location
4515 E Central Ave Ste a
Wichita, KS 67208-3915
Mailing address
200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06211 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced PT Northeast
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1043805492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1801458732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023017",
"telephone_number": "316-263-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 E CENTRAL AVE STE A",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083915",
"telephone_number": "316-260-6869",
"fax_number": "316-260-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASER",
"first_name": "JOSHUA",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.