Rachel Glenn

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2081 Issued in AR

Practice address

1001 N Tyler St
Little Rock, AR 72205-1749

Phone

(501) 413-9546

Fax

(501) 325-1315

NPI assigned

Apr 25, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Adaptive Team Therapy Services

  • Occupational Therapist
  • Little Rock, AR
  • NPI 1235856436
  NPD Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1710106992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 GRACEFUL OAKS DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192028",
            "telephone_number": "501-413-9546",
            "fax_number": "501-325-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N TYLER ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051749",
            "telephone_number": "501-413-9546",
            "fax_number": "501-325-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "2081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5A035",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161941721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colby Evan Glatter, PHARMD
• Amber Gleghorn
• Diane Marion Glendinning
• Grayson Tyler Glenn, MD
• Kelley Glenn, DPT
• Leanne C Glidewell, APN
• Global Advanced Imaging, PLLC
• Tammie R Glover-Brockinton, APRN
• Avery Grace Glover, PHARMD
• Danielle La'Quinta Glover

• All providers in Little Rock, AR
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.