Individual provider Active NPI

Erin Lynn Kilkenny, DPT, PT

  • Physical Therapist
  • Willow Grove, PA
National Provider Identifier
1396032744
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021526 Issued in PA
Practice address
1003 Easton Rd
105 Chateau
Willow Grove, PA 19090-2027
Phone
(215) 659-7759
Fax
(245) 659-6658
NPI assigned
Jul 6, 2011
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT021526 PA Primary

Addresses

Primary practice location

1003 Easton Rd
105 Chateau
Willow Grove, PA 19090-2027

Mailing address

1003 Easton Rd
105 Chateau
Willow Grove, PA 19090-2027
Phone (215) 659-7759

Other names 1

  • Ms. Erin Elizabeth Lynn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001202 PA Practitioner - Physical Therapist in Private Practice 6800066564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021526PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Grove Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2011 Accepting new patients

Locations

55 N York Rd
Ste 100
Hatboro, PA 19040
Phone (215) 394-5116

1003 Easton Rd
Ste 105
Willow Grove, PA 19090
Phone (215) 659-7759

2325 Maryland Rd
Ste 205
Willow Grove, PA 19090
Phone (215) 586-3772

Organizations & group practices 1

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1396032744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "address_2": "105 CHATEAU",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759",
            "fax_number": "245-659-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "address_2": "105 CHATEAU",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759",
            "fax_number": "245-659-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILKENNY",
        "first_name": "ERIN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "LYNN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.