Healthcare Provider Details

I. General information

NPI: 1003066531
Provider Name (Legal Business Name): RYANNE TANAE GLASPER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2008
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 PERSHING DR STE 5
SILVER SPRING MD
20910-4436
US

IV. Provider business mailing address

804 PERSHING DR STE 5
SILVER SPRING MD
20910-4436
US

V. Phone/Fax

Practice location:
  • Phone: 602-501-1809
  • Fax:
Mailing address:
  • Phone: 602-501-1809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPP66003
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number62031062
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29066
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: