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ALEXANDRA GLENN
NPI 1124535075
Specialist/Technologist - Athletic Trainer in Little Rock, AR

Active since January 01, 2018PECOS Enrolled
15 RIDGEHAVEN CT, LITTLE ROCK, AR 72211(501) 831-6963 Get Directions Write a Review

NPPES record last updated: January 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, May 11, 2026, Mar 28, 2025 (3 updates tracked since 2025).

About Alexandra Glenn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA GLENN (NPI 1124535075) is an individual athletic trainer provider in Little Rock, Arkansas and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124535075
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameALEXANDRA GLENN
Location Address15 RIDGEHAVEN CTLittle Rock, AR 72211-2253
Mailing Address15 Ridgehaven CtLittle Rock, AR 72211-2253
Phone(501) 831-6963
Sole ProprietorNo
Enumeration DateJanuary 1, 2018
Last NPPES UpdateJanuary 1, 20183 updates tracked since enumeration
✔ NPI 1124535075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
15 RIDGEHAVEN CT, Little Rock, AR 72211
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Glenn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Glenn's NPI number?

The NPI number for Alexandra Glenn is 1124535075. It was assigned to this individual provider in the NPPES registry on January 1, 2018.

Where is Alexandra Glenn located?

Alexandra Glenn practices at 15 Ridgehaven Ct, Little Rock, AR 72211. The listed phone number is (501) 831-6963.

What is Alexandra Glenn's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Alexandra Glenn enrolled in Medicare?

Yes. Alexandra Glenn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Glenn was last updated on January 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.