Individual provider Active NPI

Kendall Lee Lynch, DPT, OCS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1235437765
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044009 Issued in NY
Practice address
156 William St RM 800
New York, NY 10038-5347
Phone
(212) 267-0240
Fax
(866) 928-4144
NPI assigned
Mar 8, 2011
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 871791 DC
Physical Therapist 225100000X PT26371 FL
Physical Therapist 225100000X 044009 NY Primary
Physical Therapist 225100000X 26189 MD

Addresses

Primary practice location

156 William St RM 800
New York, NY 10038-5347

Mailing address

156 William St RM 800
New York, NY 10038-5347
Phone (212) 267-0240

Other practice location 1

1705 DeSales St NW
6th Floor
Washington, DC 20036-4405
Phone (202) 630-0378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
871791DCMDPhysical Therapist
26189MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Mindful Mobility Physical Therapy & Wellness Current Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1145 N Harlem Ave
Oak Park, IL 60302
Phone (708) 386-2086

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1235437765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST RM 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385347",
            "telephone_number": "212-267-0240",
            "fax_number": "866-928-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST RM 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385347",
            "telephone_number": "212-267-0240",
            "fax_number": "866-928-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 DeSales St NW",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200364405",
            "country_code": "US",
            "telephone_number": "202-630-0378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KENDALL",
        "middle_name": "LEE",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "871791",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26371",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044009",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.