Amy Lynn Latendresse Glaser, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0009869 Issued in CO

Practice address

115 E Harmony Rd
Ste 115
Fort Collins, CO 80525-3280

Phone

(970) 221-1201

Fax

(800) 675-0273

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado in Motion LLCGroup PAC ID 9931515483, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Colorado in Motion LLC

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1487243044

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1861517781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E HARMONY RD",
            "address_2": "STE. 115",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253280",
            "telephone_number": "970-221-1201",
            "fax_number": "800-675-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HARMONY RD",
            "address_2": "STE 115",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253280",
            "telephone_number": "970-221-1201",
            "fax_number": "800-675-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "AMY",
        "middle_name": "LYNN LATENDRESSE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0009869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glacier Lily Therapy LLC
• Glacier Lily Therapy LLC
• Pete Gladstone, PH.D.
• David Glantz
• Jakiyahj Jalia Glasco
• Jessica Glaser, BA
• Michelle Lyn Glasgow, MD
• Yvonne Glasscock, MA
• Jeffrey Glasser, PH.D.
• Cherie Glazner, MD

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.