Individual provider Active NPI

Allison Heather Glaze, MS, OTR/L, LMT

  • Occupational Therapist
  • Tavernier, FL
National Provider Identifier
1902109630
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13559 Issued in FL
Practice address
92410 Overseas Hwy
Suite 6
Tavernier, FL 33070-2636
Phone
(305) 852-8600
Fax
(305) 852-8300
NPI assigned
Dec 20, 2010
Last updated
Jul 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT13559 FL Primary

Addresses

Primary practice location

92410 Overseas Hwy
Suite 6
Tavernier, FL 33070-2636

Mailing address

6431 SW 63Rd CT
South Miami, FL 33143-3328
Phone (407) 256-0795

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Therapy & Rehabilitation Center of the Florida Keys Inc Past Accepting new patients

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1902109630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 SW 63RD CT",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433328",
            "telephone_number": "407-256-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92410 OVERSEAS HWY",
            "address_2": "SUITE 6",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702636",
            "telephone_number": "305-852-8600",
            "fax_number": "305-852-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZE",
        "first_name": "ALLISON",
        "middle_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

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