Individual provider Active NPI

Kenneth R Lennington, P.T.

  • Physical Therapist
  • Lemoyne, PA
National Provider Identifier
1366440349
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT000878E Issued in PA
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

Updated by the provider on May 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20040114000007 PA Practitioner - Physical Therapist in Private Practice 2769383751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AH18464PTMAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Spine Group, LLC. Past Accepting new patients
The Boston Spine Group LLC Physical Therapist PastSince Mar 15, 2010 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.

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.

Verify at the official NPI Registry.