Lisa W. Glenn
Physical Therapist in Houston, TX. Individual provider (NPI-1).
NPI number1144592452
StatusActive
Last updated in NPPESFeb 1, 2012
Details
- NPI
- 1144592452
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa W. Glenn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2012
- Last updated
- Feb 1, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 190058 | TX | Yes |
Practice location
1815 Enclave PkwyHouston, TX 77077-3671
Phone 281-920-0573
Mailing address
12522 Mossycup DrHouston, TX 77024-4937
Phone 713-973-8251
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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