Active NPI
Kendra Lennon
- Physical Therapist
- Timonium, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2240 Greenspring Dr
Timonium, MD 21093-3114 - Phone
- (410) 989-3833
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2240 Greenspring Dr
Timonium, MD 21093-3114
Mailing address
2240 Greenspring Dr
Timonium, MD 21093-3114
Phone (410) 989-3833
Other practice location 1
1211 W Main St
Waterbury, CT 06708-3106
Phone (203) 753-6043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2240 Greenspring Dr
Timonium, MD 21093-3114
Phone (667) 401-0538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28920 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Sports Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| True Sports Physical Therapy 2, LLC | Past | Accepting new patients | |
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
710 S Ann St
Fl 2
Baltimore, MD 21231
Phone (667) 401-8847
2240 Greenspring Dr
Timonium, MD 21093
Phone 4109893833 ext. 2
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Baltimore, MD
- NPI 1114357340
Physical Therapist
-
- Physical Therapy Clinic/Center
- Woodbine, MD
- NPI 1023539178
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1528556222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 GREENSPRING DR",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210933114",
"telephone_number": "410-989-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 GREENSPRING DR",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210933114",
"telephone_number": "410-989-3833"
}
],
"practiceLocations": [
{
"address_1": "1211 W Main St",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067083106",
"country_code": "US",
"telephone_number": "203-753-6043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENNON",
"first_name": "KENDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.