Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glenmar Nisperos, PT

Individual provider Physical Therapist · NPI 1962538470

Glenmar Nisperos, PT is a Physical Therapist in Private Practice in Newark, New Jersey. Qualified in 2001, 25 years ago. Practices with East Coast Rehabilitation Services LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
25
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

17 Academy St Ste 312
Newark, NJ 07102-2934
Phone: (973) 648-6808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT40QA01119400 (NJ)

Record details

NPI number1962538470
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice East Coast Rehabilitation Services Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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