Individual provider Active NPI

Connie L Lenski

  • Neurology Physical Therapist
  • Sun City West, AZ
National Provider Identifier
1710485347
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
Practice address
14418 W Meeker Blvd Ste 103
Sun City West, AZ 85375-5290
Phone
(623) 524-8351
Fax
(623) 524-8350
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X Primary

Addresses

Primary practice location

14418 W Meeker Blvd Ste 103
Sun City West, AZ 85375-5290

Mailing address

20915 W Ridge Rd
Buckeye, AZ 85396-1588
Phone (623) 261-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0878AZMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1710485347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20915 W RIDGE RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961588",
            "telephone_number": "623-261-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD STE 103",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755290",
            "telephone_number": "623-524-8351",
            "fax_number": "623-524-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENSKI",
        "first_name": "CONNIE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.