Individual provider Active NPI

Leslie D Glenn, LPT

  • Physical Therapist
  • Lubbock, TX
National Provider Identifier
1396794855
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1092674 Issued in TX
Practice address
6801 Indiana Ave
Lubbock, TX 79413-6109
Phone
(806) 785-7900
Fax
(806) 785-7909
NPI assigned
May 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 1092674 TX Primary

Addresses

Primary practice location

6801 Indiana Ave
Lubbock, TX 79413-6109

Mailing address

6801 Indiana Ave
Lubbock, TX 79413-6109
Phone (806) 785-7900

Other identifiers 1

IdentifierTypeStateIssuer
8T2299OtherTXBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000420 TX Practitioner - Physical Therapist in Private Practice 5698753820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectra Sports Medicine and Physical Therapy, LPGroup PAC ID 5395723514, 6 clinicians

Practice addresses (Care Compare)

6801 Indiana Ave
Lubbock, TX 79413-6109

Merit-based Incentive Payment System (MIPS)

Final score
86.54 of 100Reported as individual
Quality
84.85
Improvement activities
40
Cost
75.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Sports Medicine & Physical Therapy, LP Physical Therapist CurrentSince May 1, 2004 Accepting new patients

Locations

6801 Indiana Ave
Lubbock, TX 79413
Phone (806) 785-7900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396794855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136109",
            "telephone_number": "806-785-7900",
            "fax_number": "806-785-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136109",
            "telephone_number": "806-785-7900",
            "fax_number": "806-785-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "LESLIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1092674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8T2299",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.