James Pierre-Glaude Physical Therapy and Athletic Training SVCS, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033256 Issued in NY

Legal business name

JAMES PIERRE-GLAUDE PHYSICAL THERAPY AND ATHLETIC TRAINING SVCS, P.C.

Practice address

62 Lake Ave S Ste C
Nesconset, NY 11767-1094

Phone

(631) 584-8783

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. James Kevin Pierre-Glaude, DPT, ATC, CSCSNPI 1477833432

Title

President

Phone

(347) 280-6548

Specialties & licenses 1

Addresses

Other names 1

• James Pierre-Glaude Physical Therapy Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Kevin Pierre-Glaude, DPT,ATC,CSCS

  • Physical Therapist
  • Coram, NY
  • NPI 1477833432
  Medicare reassignment Care Compare group NPD Authorized official
• Haidee Rae Ganz-Bonhurst, DPT, M.S.,A.T.,C

  • Physical Therapist
  • Smithtown, NY
  • NPI 1922058981
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1851754857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117840676",
            "telephone_number": "347-280-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 LAKE AVE S STE C",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671094",
            "telephone_number": "631-584-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PIERRE-GLAUDE PHYSICAL THERAPY AND ATHLETIC TRAINING SVCS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "PIERRE-GLAUDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-280-6548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NONE",
            "affiliation": "N",
            "address_1": "62 Lake Ave S Ste C",
            "city": "Nesconset",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117671094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "James Pierre-Glaude Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James Pierre-Glaude Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helene Ann Hopkins Farley, RN
• Joanna Hopkins, R.N.
• Syeda Tanzia Hossain, MD
• Independent Group Home Living
• Island Sports Physical Therapy of Smithtown, P.C.
• Jennifer Jaquillard, RN
• Jared Caspe Physical Therapy PLLC
• Lucko Jean
• Eunice Y Jung, DDS
• Kare Therapeutics PT PC

• Physical Therapist in Nesconset, NY
• Providers in Nesconset, 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 Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.