Individual provider Active NPI

Sydney Lane Glenn, PT

  • Physical Therapist
  • Paragould, AR
National Provider Identifier
1386537546
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5630 Issued in AR
Practice address
3501 Carriage Hill Dr Ste a
Paragould, AR 72450-5329
Phone
(870) 565-4770
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5630 AR Primary

Addresses

Primary practice location

3501 Carriage Hill Dr Ste a
Paragould, AR 72450-5329

Mailing address

3501 Carriage Hill Dr Ste a
Paragould, AR 72450-5329
Phone (870) 565-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627002158 AR Practitioner - Physical Therapist in Private Practice 9032622691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Paul Abraham PT PAGroup PAC ID 9739108739, 15 clinicians

Practice addresses (Care Compare)

801 W Beebe Capps Expy
Searcy, AR 72143-6353
Phone (501) 268-2513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5630ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Paul Abraham PT PA Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients

Locations

1108 Highway 11 N
Ste B
Des Arc, AR 72040
Phone (870) 256-1555

3501 Carriage Hill Dr
#A
Paragould, AR 72450
Phone (870) 565-4770

3501 Carriage Hill Dr
Paragould, AR 72450
Phone (870) 565-4770

801 W Beebe Capps Expy
#P
Searcy, AR 72143
Phone (501) 268-2513

801 W Beebe Capps Expy
Searcy, AR 72143
Phone (501) 268-2513

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": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1386537546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CARRIAGE HILL DR STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505329",
            "telephone_number": "870-565-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CARRIAGE HILL DR STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505329",
            "telephone_number": "870-565-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "SYDNEY",
        "middle_name": "LANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.