Active NPI
Sydney Lane Glenn, PT
- Physical Therapist
- Paragould, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5630 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Paul Abraham PT PA | Physical Therapist | Current | 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.