Active NPI
Kenneth R Lennington, P.T.
- Physical Therapist
- Lemoyne, PA
National Provider Identifier
1366440349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000878E
- Practice address
- 550 N 12TH St
Lemoyne, PA 17043-1213 - Phone
- (717) 737-9818
- Fax
- (717) 737-2815
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT000878E | PA | Primary |
| Physical Therapist | 225100000X | AH18464PT | MA |
Addresses
Primary practice location
550 N 12TH St
Lemoyne, PA 17043-1213
Mailing address
550 N 12TH St
Lemoyne, PA 17043-1213
Phone (717) 737-9818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040114000007 | PA | Practitioner - Physical Therapist in Private Practice | 2769383751 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AH18464PT | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Spine Group, LLC. | Past | Accepting new patients | |
| The Boston Spine Group LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Newton, MA
- NPI 1558316166
-
- Physical Therapist
- Southboro, MA
- NPI 1144450081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1366440349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N 12TH ST",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431213",
"telephone_number": "717-737-9818",
"fax_number": "717-737-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N 12TH ST",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431213",
"telephone_number": "717-737-9818",
"fax_number": "717-737-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNINGTON",
"first_name": "KENNETH",
"middle_name": "R",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT000878E",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "AH18464PT",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lemoyne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.