Individual provider Active NPI

Rebecca M. Glendy, P.T.

  • Orthopedic Physical Therapist
  • Raleigh, NC
National Provider Identifier
1225281116
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2390 Issued in NC
Practice address
2815 Cates Avenue
Raleigh, NC 27695-7304
Phone
(919) 513-3260
Fax
(919) 515-1519
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2390 NC Primary

Addresses

Primary practice location

2815 Cates Avenue
Raleigh, NC 27695-7304

Mailing address

2815 Cates Avenue
Campus Box 7304
Raleigh, NC 27695-7304
Phone (919) 513-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2390NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina State University PastSince Mar 12, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1225281116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CATES AVENUE",
            "address_2": "CAMPUS BOX 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276957304",
            "telephone_number": "919-513-3260",
            "fax_number": "919-515-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CATES AVENUE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276957304",
            "telephone_number": "919-513-3260",
            "fax_number": "919-515-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENDY",
        "first_name": "REBECCA",
        "middle_name": "M.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.