Individual provider Active NPI

Casey Glowicki

  • Physical Therapy Assistant
  • Naples, FL
National Provider Identifier
1871223479
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
31515 Issued in FL
Practice address
1865 Veterans Park Dr Ste 101
Naples, FL 34109-0447
Phone
(239) 254-7778
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 31515 FL Primary

Addresses

Primary practice location

1865 Veterans Park Dr Ste 101
Naples, FL 34109-0447

Mailing address

150 Tamiami TRL N
Naples, FL 34102-6215
Phone (239) 315-0620

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31515FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Rehab Associates PA CurrentSince Jun 21, 2022 Accepting new patients

Locations

150 Tamiami Trl N
Naples, FL 34102
Phone (239) 262-8306

1865 Veterans Park Dr
Ste 101
Naples, FL 34109
Phone (239) 254-7778

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1871223479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026215",
            "telephone_number": "239-315-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 VETERANS PARK DR STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090447",
            "telephone_number": "239-254-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWICKI",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "31515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.