Active NPI
Jessie Glennon, DPT
- Physical Therapist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305216913
- Practice address
- 6856 Richmond Hwy
Alexandria, VA 22306-1755 - Phone
- (571) 302-8633
- NPI assigned
- Aug 4, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37511 | FL | |
| Physical Therapist | 225100000X | 2305216913 | VA | Primary |
Addresses
Primary practice location
6856 Richmond Hwy
Alexandria, VA 22306-1755
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200
Other practice location 1
2219 County Road 220 Ste 304
Middleburg, FL 32068-7778
Phone (904) 644-7722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Wilson Blvd
Suite 102
Arlington, VA 22209-2505
Phone (703) 935-1996
4613 Duke St
Suite B
Alexandria, VA 22304-2559
Phone (703) 751-1052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37511 | FL | MD | Physical Therapist |
| 2305216913 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Oakleaf Family Chiropractic | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Locations
9785 Crosshill Blvd
Ste 108
Jacksonville, FL 32222
Phone (904) 772-6522
2219 County Road 220
Ste 304
Middleburg, FL 32068
Phone (360) 707-8107
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
4613 Duke St
Ste B
Alexandria, VA 22304
Phone (703) 751-1052
1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500
11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720
Organizations & group practices 5
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.
-
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, Physical Therapist
-
- Physical Therapist
- Middleburg, FL
- NPI 1992348569
-
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1770257552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6856 RICHMOND HWY",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223061755",
"telephone_number": "571-302-8633"
}
],
"practiceLocations": [
{
"address_1": "2219 County Road 220 Ste 304",
"address_purpose": "LOCATION",
"city": "Middleburg",
"state": "FL",
"postal_code": "320687778",
"country_code": "US",
"telephone_number": "904-644-7722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLENNON",
"first_name": "JESSIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2025-05-13",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37511",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305216913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.