Sherrie Glasser Physical Therapist John Douglas Pta

Primary specialty

SpecialistTaxonomy code 174400000X

License

003072-1 Issued in NY

Legal business name

SHERRIE GLASSER PHYSICAL THERAPIST JOHN DOUGLAS PTA

Doing business as

Metro Comprehensive Physical Therapy

Practice address

1061 N Broadway
N Massapequa, NY 11758-1802

Phone

(516) 454-6387

Fax

(516) 454-6303

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

John Douglas

Title

Director

Phone

(516) 454-6387

Specialties & licenses 1

Addresses

Other names 1

• METRO COMPREHENSIVE PHYSICAL THERAPY Doing business as

Locations

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962578856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N BROADWAY",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581802",
            "telephone_number": "516-454-6387",
            "fax_number": "516-454-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N BROADWAY",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581802",
            "telephone_number": "516-454-6387",
            "fax_number": "516-454-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIE GLASSER PHYSICAL THERAPIST JOHN DOUGLAS PTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-454-6387"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "003072-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METRO COMPREHENSIVE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loretta C Pittelli Cioffi, LCSW
• Jay Ritter, D.D.S
• Marissa C Roberts, MS, CCC-SLP
• Christina A Roesch, LPN,EMT
• Sherrie Glasser Physical Therapist John Douglas Physical Therapist Ass (Metro Comprehensive Physical Therapy)
• Tiffany A Siaca
• Silver Secrets
• Linda Silvestro, LMT
• Khalida Khan Stutman, D.D.S
• Jennifer Ann Szczepanski

• Specialist in N Massapequa, NY
• Providers in N Massapequa, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.