TARA GLENDENNING (OTR/L) – Occupational Therapist, NPI 1720609480

TARA GLENDENNING (OTR/L) is a healthcare provider. based in Rockford, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 056.013419 (IL). The NPI Number for TARA GLENDENNING (OTR/L) is 1720609480

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TARA GLENDENNING (OTR/L)
NPI
1720609480
Phone
(815) 637-1100
Address
4920 E STATE ST STE 4
Enumeration Date
4 May 2020
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156371100
Graduation Year
2018 (8 years ago)
PAC ID
2567893035
Group Practice PAC ID
0042468357
Professional Enrollment ID
I20200518000469
Address ID
IL611082262RO4920XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for TARA GLENDENNING (OTR/L)

  • 4920 E STATE ST STE 4

    ROCKFORD, IL 611082262

    Phone: (815) 637-1100

    Type: Mailing

  • 3057 N PERRYVILLE RD

    ROCKFORD, IL 611148016

    Phone: (815) 637-1100

    Type: Mailing

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: 2020-05-18

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
I20200518000469IOccupational Therapist In Private PracticeILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities22423$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12721$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8920$0
97535Training for self-care or home management, each 15 minutes2111$0
View full utilization report →

Insurance plans in this area (ZIP 61108)

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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: 0042468357View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
-IL

Reviews

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Frequently asked questions

How do payers reference TARA GLENDENNING (OTR/L)?
For TARA GLENDENNING (OTR/L), use NPI 1720609480 as the unique 10-digit identifier.
Would TARA GLENDENNING (OTR/L) appear as active to a payer?
You can treat TARA GLENDENNING (OTR/L) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe TARA GLENDENNING (OTR/L)'s focus?
For TARA GLENDENNING (OTR/L), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is TARA GLENDENNING (OTR/L) associated with Rockford?
Public fields place TARA GLENDENNING (OTR/L) around Rockford, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for TARA GLENDENNING (OTR/L)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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