LISENBY PHYSICAL THERAPY FOR WOMEN, INC. (NPI# 1841638228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841638228 |
Entity Type | Organization |
Organization Name | LISENBY PHYSICAL THERAPY FOR WOMEN, INC. |
Other Organization Name | MCKENNA PHYSICAL THERAPY, INC. |
Practice Address |
5009 N Executive Dr Ste B Peoria IL 61614 |
Mailing Address |
5009 N Executive Dr. Suite B Peoria IL 61614-1910 |
Practice Telephone | 3098398631 |
Practice Fax Number | 8555793536 |
Mailing Telephone | 3098398631 |
Mailing Fax Number | 8555793536 |
Enumeration Date | 2013-06-07 |
Last Update Date | 2018-07-31 |
Authorized Official Name | MOLLY LISENBY (PRESIDENT) |
Authorized Official Telephone | 3094722413 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
070013673 | IL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
McKenna Physical Therapy | Doing Business As Name - Organization |
McKenna Physical Therapy, Inc. | Former Legal Business Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
719 W Lake Ave, Peoria, IL 616145941 | 3098398631 | 8555793536 |
Street Address |
5009 N EXECUTIVE DR STE B |
City | PEORIA |
State | IL |
Zip Code | 61614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023060001 | Molly D Lisenby | Physical Therapist | 5009 N Executive Dr Ste B, Peoria, IL 61614 | 2006-05-17 |
1255713798 | Lynsey Steinbach | Physical Therapist | 5009 N Executive Dr Ste B, Peoria, IL 61614 | 2015-06-21 |
1518146836 | Stephanie Lynn Dillon | Physical Therapist | 5009 N Executive Dr Ste B, Peoria, IL 61614-4866 | 2007-11-02 |
1710033188 | Kristina Foster | Physical Therapist | 5009 N Executive Dr Ste B, Peoria, IL 61614 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
Find all providers in zip 61614 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
1710487707 | Desert Edge Physical Therapy, LLC | Clinic/Center | 21391 N Lake Pleasant Pkwy Ste 1810, Peoria, AZ 85382-2000 | 2018-02-15 |
1609299494 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 8643 W Kelton Ln Ste 106, Peoria, AZ 85382-3505 | 2014-01-29 |
1578746392 | Smith Spine & Orthopaedic Physical Therapy, LLC | Clinic/Center | 8126 W Carlota Ln, Peoria, AZ 85383-2196 | 2007-12-15 |
1689853160 | Physiotherapy Associates | Clinic/Center | 16140 N Arrowhead Fountains Ctr Dr Ste 105, Peoria, AZ 85382-4789 | 2007-10-31 |
1003995606 | Physiotherapy Associates Inc | Clinic/Center | 16155 N 83rd Ave, Suite 105, Peoria, AZ 85382-5815 | 2006-11-03 |
1194733816 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 7400 W. Olive Avenue, Suite 1, Peoria, AZ 85345 | 2006-08-04 |
1639565880 | Champion Fitness, Inc | Clinic/Center | 5401 N Knoxville Ave Ste 117, Peoria, IL 61614-5068 | 2015-04-14 |
1730592809 | Matthew George Zanis | Clinic/Center | 9745 W Happy Valley Rd, Peoria, AZ 85383-1241 | 2014-06-06 |
1396099552 | Pt Active Care, Pllc | Clinic/Center | 8914 N 91st Ave, Peoria, AZ 85345-8390 | 2012-11-08 |
Find all providers in PEORIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.