Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Favre Glidden, OTR, MOT

Individual provider Occupational Therapist · NPI 1538718226

Kristen Favre Glidden, OTR, MOT is an Occupational Therapist in Private Practice in Lewisville, Texas. Qualified in 2019, 7 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

4770 State Highway 121 Ste 130
Lewisville, TX 75056-2913
Phone: (469) 830-9030
Fax: (469) 390-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 120245 (TX)

Record details

NPI number1538718226
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR , MOT
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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