LISENBY PHYSICAL THERAPY FOR WOMEN, INC.


Address: 5009 N Executive Dr Ste B, Peoria, IL 61614
Phone: 3098398631

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
McKenna Physical Therapy Doing Business As Name - Organization
McKenna Physical Therapy, Inc. Former Legal Business Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
719 W Lake Ave, Peoria, IL 616145941 3098398631 8555793536

Office Location

Street Address 5009 N EXECUTIVE DR STE B
City PEORIA
State IL
Zip Code 61614

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PEORIA
Zip Code 61614

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Dataset Information

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.

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