Active NPI
Kyle Lenihan
- Physical Therapist
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070025859
- Practice address
- 1111 Trinity LN
Bloomington, IL 61704-8111 - Phone
- (309) 663-6461
- Fax
- (309) 663-5711
- NPI assigned
- Mar 7, 2022
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 070025859 | IL | Primary |
Addresses
Primary practice location
1111 Trinity LN
Bloomington, IL 61704-8111
Mailing address
1111 Trinity LN
Bloomington, IL 61704-8111
Phone (309) 663-6461
Other practice location 1
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-4360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
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)
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070025859 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients |
Locations
1111 Trinity Ln
Bloomington, IL 61704
Phone (309) 661-6414
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1699422980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 TRINITY LN",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617048111",
"telephone_number": "309-663-6461",
"fax_number": "309-663-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 TRINITY LN",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617048111",
"telephone_number": "309-663-6461",
"fax_number": "309-663-5711"
}
],
"practiceLocations": [
{
"address_1": "1400 W Park St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "618012334",
"country_code": "US",
"telephone_number": "217-337-4360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENIHAN",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-07",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070025859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.