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MRS. ALISA SUZANNE GLICK P.T.
NPI 1174697742
Physical Therapist - Pediatrics in Commack, NY

Active since November 17, 2006
1 SHELDON PL, COMMACK, NY 11725(631) 499-0414(631) 499-0414 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Alisa Suzanne Glick P.t. NPPES

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

MRS. ALISA SUZANNE GLICK P.T. (NPI 1174697742) is an individual pediatrics provider in Commack, New York, licensed in New York (020232) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1174697742
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. ALISA SUZANNE GLICKCredential: P.T.
Location Address1 SHELDON PLCommack, NY 11725-3216
Mailing Address1 Sheldon PlCommack, NY 11725-3216 · (631) 499-0414 · Fax (631) 499-0414
Phone(631) 499-0414
Fax(631) 499-0414
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174697742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NY · 020232
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1 SHELDON PL, Commack, NY 11725
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Other Identifiers 1

Medicare ID-Type UnspecifiedQ14R11NY

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 Alisa Glick's NPI number?

The NPI number for Alisa Glick is 1174697742. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Alisa Glick located?

Alisa Glick practices at 1 Sheldon Pl, Commack, NY 11725. The listed phone number is (631) 499-0414.

What is Alisa Glick's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Alisa Glick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.