Aiysha R Glenn-Bradby, PT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

163 New Hyde Park Rd
Franklin Square, NY 11010-3045

Phone

(516) 616-1111

Fax

(516) 616-1112

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aiysha R Glenn Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Temple University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, 385 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Harrison, NY
  • NPI 1396799409
  Medicare reassignment Care Compare group NPD
• Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services

  • Physical Therapy Clinic/Center
  • Fresh Meadows, NY
  • NPI 1164460879

  Physical Therapist

  NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD
• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365

  Physical Therapist

  NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1851429450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 NEW HYDE PARK RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103045",
            "telephone_number": "516-616-1111",
            "fax_number": "516-616-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 NEW HYDE PARK RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103045",
            "telephone_number": "516-616-1111",
            "fax_number": "516-616-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN-BRADBY",
        "first_name": "AIYSHA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PT",
            "identifier": "027729-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIYSHA",
            "last_name": "GLENN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Paul Giller, DDS
• Anthony J Giordano, RPH
• Anthony Nicholas Giordano, RPH
• Michelle Gladstone, LMHC
• Marlene Glashen, ANP
• Joel M Goldenberg, DDS
• Theresa Marie Goldin
• Irene Gomez, RPA-C
• Johanna Gonzalez, NP
• Crystal Green

• Physical Therapist in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.