Active NPI
Kristen Locicero Glascock, PT, DPT
- Physical Therapist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08082
- Practice address
- 3403 Rue D Orleans
Baton Rouge, LA 70810-0430 - Phone
- (985) 351-7795
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- 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 | 08082 | LA | Primary |
Addresses
Primary practice location
3403 Rue D Orleans
Baton Rouge, LA 70810-0430
Mailing address
3403 Rue D Orleans
Baton Rouge, LA 70810-0430
Phone (985) 351-7795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12110 S Harrells Ferry Rd
Baton Rouge, LA 70816-2426
Phone (225) 372-5008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
3854 American Way
Baton Rouge, LA 70816
Phone (225) 372-5008
12110 S Harrells Ferry Rd
Baton Rouge, LA 70816
12110 S Harrells Ferry Rd
Ste 200
Baton Rouge, LA 70816
Phone (225) 372-5008
1606 S Magnolia St
Ste C
Hammond, LA 70403
1606 S Magnolia St
Hammond, LA 70403
Phone (985) 340-4198
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Baton Rouge, LA
- NPI 1790237188
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1922460765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 RUE D ORLEANS",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100430",
"telephone_number": "985-351-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 RUE D ORLEANS",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100430",
"telephone_number": "985-351-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASCOCK",
"first_name": "KRISTEN",
"middle_name": "LOCICERO",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.