Active NPI
Timothy Flynn Glover Sr., PT
- Physical Therapist
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018221
- Practice address
- 506 Stewart Ave
Garden City, NY 11530-4706 - Phone
- (516) 739-7733
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018221 | NY | Primary |
Addresses
Primary practice location
506 Stewart Ave
Garden City, NY 11530-4706
Mailing address
PO Box 1264
Center Moriches, NY 11934-7264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
807 S Oyster Bay Rd
Bethpage, NY 11714-1030
Phone (516) 622-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adults and Children With Learning and Developmental Disabilities, Inc. | Current | Accepting new patients | |
| Epic Long Island | Current | Accepting new patients | |
| Epic Medical Services PC | Current | Accepting new patients | |
| Adults and Children With Learning and Developmental Disabilites, Inc. | Current | Accepting new patients | |
| Epilepsy Foundation of L.I. | Current | Accepting new patients | |
| Acld Kramer Learning Center | Past | Accepting new patients |
Locations
1428 5th Ave
Bay Shore, NY 11706
Phone (631) 665-1900
807 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888
1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420
506 Stewart Ave
Village of Garden City, NY 11530
Phone (516) 705-3400
Organizations & group practices 6
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.
-
- Developmental Disabilities Clinic/Center
- Bethpage, NY
- NPI 1730194408
-
- Voluntary or Charitable Agency
- East Meadow, NY
- NPI 1174563936
-
- Specialist
- East Meadow, NY
- NPI 1134589609
-
- Developmental Disabilities Clinic/Center
- Bethpage, NY
- NPI 1265674303
-
- Voluntary or Charitable Agency
- Garden City, NY
- NPI 1467755785
-
- Developmental Disabilities Clinic/Center
- Bay Shore, NY
- NPI 1942565015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1922040039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1264",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119347264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 STEWART AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304706",
"telephone_number": "516-739-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "TIMOTHY",
"middle_name": "FLYNN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.