Carly Lenzen, DPT
Individual provider Active NPI Physical Therapist · Willard, MO
NPI 1609674969 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1609674969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2022030880 (MO)
- Practice address
- 304 E Jackson St Ste 2F
Willard, MO 65781-9472 - Phone
- (417) 221-4667
- Fax
- (417) 744-9674
- NPI assigned
- Mar 4, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Creighton University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Willard Physical Therapy Center LLC
Practice addresses (Care Compare)
304 E Jackson St
Suite 2F
Willard, MO 65781-9333
Phone (417) 221-4667
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250603002907 | MO | Practitioner - Physical Therapist in Private Practice | 8628587433 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willard Physical Therapy Center LLC | Physical Therapist | Current |
Accepting new patients |
Locations
304 E Jackson St
Ste 2F
Willard, MO 65781
Phone (417) 221-4667
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2022030880 | MO | Yes |
Addresses
Primary practice location
304 E Jackson St Ste 2F
Willard, MO 65781-9472
Mailing address
3811 S Weller Ave Apt A207
Springfield, MO 65804-5248
Phone (480) 710-4523
Other providers in Willard, MO
- Jacquelyn Rose Kemnic
- Sarah Leigh King-Finley
- Lauren Koth
- Jennifer M Lankford
- Mollie R Leek
- Lester E Cox Medical Centers
- Lester E. Cox Medical Centers
- Hannah Lynn Littlepage
- Martina N/a Mikulic
- Rachel Milburn
All providers in Willard, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.