Individual provider Active NPI

Joel Edward Norman, DPT

  • Physical Therapist
  • Glen Cove, NY
National Provider Identifier
1821281254
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029593 Issued in NY
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
029593NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edge Physical Therapy PC Physical Therapist CurrentSince Jun 1, 2010 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.

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.

Verify at the official NPI Registry.