Active NPI
Joel Edward Norman, DPT
- Physical Therapist
- Glen Cove, NY
National Provider Identifier
1821281254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029593
- Practice address
- 244 Glen Cove Ave
Suite D
Glen Cove, NY 11542-4171 - Phone
- (516) 801-6650
- Fax
- (516) 801-6653
- NPI assigned
- Aug 20, 2007
- Last updated
- Jul 14, 2010
- Sex
- Male
- 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 Therapist | 225100000X | 029593 | NY | Primary |
Addresses
Primary practice location
244 Glen Cove Ave
Suite D
Glen Cove, NY 11542-4171
Mailing address
244 Glen Cove Ave
Suite D
Glen Cove, NY 11542-4171
Phone (516) 801-6650
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 |
|---|---|---|---|
| 029593 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edge Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
244 Glen Cove Ave
Ste D
Glen Cove, NY 11542
Phone (516) 801-6650
7200 Douglaston Pkwy
Little Neck, NY 11362
Phone (516) 801-6650
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
- Physical Therapist
- Glen Cove, NY
- NPI 1790003135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1821281254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 GLEN COVE AVE",
"address_2": "SUITE D",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424171",
"telephone_number": "516-801-6650",
"fax_number": "516-801-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 GLEN COVE AVE",
"address_2": "SUITE D",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424171",
"telephone_number": "516-801-6650",
"fax_number": "516-801-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "JOEL",
"middle_name": "EDWARD",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.