Kenlie Kay Glass

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1396397 Issued in TX

Practice address

2431 S Loop 289
Lubbock, TX 79423-1519

Phone

(806) 771-8008

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical Therapy and Wellness PLLC 2 clinicians

Physical Therapy Today of Lubbock LP 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Today of Lubbock LP

  • Physical Therapist
  • Lubbock, TX
  • NPI 1235169590
  Medicare reassignment Care Compare group NPD
• Peak Performance Physical Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Stratford, TX
  • NPI 1437009693

  TX

  Medicare reassignment Care Compare group
• Physical Therapy Today of Lubbock, LP

  • Physical Therapist
  • Amarillo, TX
  • NPI 1083321558
  NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1245062801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231519",
            "telephone_number": "806-771-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "KENLIE",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1396397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie Gist, PT
• Mark S Gittings, D.O.
• Kylyn Givens, PHARMD
• Gladys J. Whitten, DMD, PA
• Teri Lee Glascock, PNP-LPA
• Carolyn Jane Glasser
• Myriam Glavash, D.M.D.
• Sarah Glawe, CCC-SLP
• Darla F Gleaves, L.A.T.
• Camilla Glenn, MSN, RN, FNP-C

• All providers in Lubbock, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.