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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ERIC DANIEL GLASS JR. PA-S
NPI 1083547749
Student in an Organized Health Care Education/Training Program in Dallas, PA

Active since June 04, 2026

NPPES record added: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eric Daniel Glass Jr. Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC DANIEL GLASS JR. PA-S (NPI 1083547749) is an individual student in an organized health care education/training program in Dallas, Pennsylvania and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1083547749
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERIC DANIEL GLASS JR.Credential: PA-S
Location Address301 LAKE STDallas, PA 18612-1090
Mailing Address6 George St Fl 2Pittston, PA 18640-1904 · (717) 870-0571
Phone(570) 674-6716
Sole ProprietorNo
Enumeration DateJune 4, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1083547749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
301 LAKE ST, Dallas, PA 18612
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY HAMMOND
Physical Therapist
301 LAKE ST
DALLAS, PA 18612
Luzerne County (607) 675-8600
MISERICORDIA UNIVERSITY SPEECH-LANGUAGE AND HEARING CENTER
Early Intervention Provider Agency
301 LAKE ST
DALLAS, PA 18612
Luzerne County (570) 674-8050
POWERBACK REHABILITATION LLC
Clinic/Center (Rehabilitation)
301 LAKE ST
DALLAS, PA 18612
Luzerne County (570) 674-6954
MARTHA LAYTOS
Occupational Therapist
301 LAKE ST
DALLAS, PA 18612
Luzerne County (570) 266-2920
WSSH POWERBACK REHABILITATION SERVICES, LLC
Clinic/Center (Rehabilitation)
301 LAKE ST
DALLAS, PA 18612
Luzerne County (570) 674-6954
KRISTINA MARY RUBY DPT
Physical Therapist
301 LAKE ST
DALLAS, PA 18612
Luzerne County (570) 266-2920
GITA MUKUNDAN
Nurse Practitioner (Family)
301 LAKE ST
DALLAS, PA 18612
Luzerne County (570) 674-6400
MS. NATALIE LYNN FOX COTA
Occupational Therapy Assistant
301 LAKE ST
DALLAS, PA 18612
Luzerne County (570) 675-2131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Glass's NPI number?

The NPI number for Eric Glass is 1083547749. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Eric Glass located?

Eric Glass practices at 301 Lake St, Dallas, PA 18612. The listed phone number is (570) 674-6716.

What is Eric Glass's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eric Glass was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.