| Kyle Lenihan, | |
|
1111 Trinity Ln, Bloomington, IL 61704-8111 | |
| (309) 663-6461 | |
| (309) 663-5711 |
| Full Name | Kyle Lenihan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1111 Trinity Ln, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699422980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 070025859 (Illinois) | Primary |
| Provider Name | Carle West Physician Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Lenihan, 1111 Trinity Ln, Bloomington, IL 61704-8111 Ph: (309) 663-6461 | Kyle Lenihan, 1111 Trinity Ln, Bloomington, IL 61704-8111 Ph: (309) 663-6461 |
Ms. Mary Claire Biles, PT, MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422 | |
Mrs. Patricia O'meara, MPT, NDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422 | |
Edward Ericksen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 | |
Christopher Scot Byers, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-661-8823 | |
Ms. Gretchen Dean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 217-326-2911 Fax: 217-344-8047 | |
Dr. Alissa Recker, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-661-8107 | |
The Therapy Collaborative Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1802 Hackberry Rd, Bloomington, IL 61704 Phone: 309-846-0513 |