KENLIE KAY GLASS – Physical Therapist, NPI 1245062801

KENLIE KAY GLASS is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1396397 (TX). The NPI Number for KENLIE KAY GLASS is 1245062801

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KENLIE KAY GLASS
NPI
1245062801
Phone
Not provided
Address
PO BOX 932184
Enumeration Date
14 August 2024
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067718008
Graduation Year
2024 (2 years ago)
PAC ID
2860931235
Group Practice PAC ID
7315836053
Professional Enrollment ID
I20240829001028
Address ID
TX794231519LU2431XLOOP301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for KENLIE KAY GLASS

  • PO BOX 932184

    ATLANTA, GA 311932184

    Phone:

    Type: Mailing

  • 2431 S LOOP 289

    LUBBOCK, TX 794231519

    Phone: (806) 771-8008

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240829001028IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31193)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315836053View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeLA
-TX
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for KENLIE KAY GLASS?
Save NPI 1245062801 if you need a stable reference for KENLIE KAY GLASS.
Is KENLIE KAY GLASS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KENLIE KAY GLASS list a primary specialty?
If you are matching referrals, note Physical Therapist for KENLIE KAY GLASS. Clinical services aligned with this taxonomy classification.
Where does public data place KENLIE KAY GLASS?
The snapshot lists Atlanta, Georgia for KENLIE KAY GLASS; download NPPES for the complete set.
Is KENLIE KAY GLASS a real provider?
This page reflects official NPPES data for NPI 1245062801. Always confirm identity and privileges with the practice and licensing boards.

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