Active NPI
Alexander Glatz
- Speech-Language Pathologist
- Eagan, MN
National Provider Identifier
1720842933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- CFDE-256
- Practice address
- 2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930 - Phone
- (651) 994-9644
- NPI assigned
- Feb 8, 2024
- Last updated
- Jun 11, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CFDE-256 | MN | Primary |
Addresses
Primary practice location
2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930
Mailing address
999 W Big Beaver Rd
Troy, MI 48084-4716
Phone (124) 836-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1720842933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480844716",
"telephone_number": "124-836-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 PILOT KNOB RD STE 100",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211930",
"telephone_number": "651-994-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLATZ",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-08",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "CFDE-256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.