| Molly D Lisenby, PT | |
|
5009 N Executive Dr Ste B, Peoria, IL 61614 | |
| (309) 839-8631 | |
| (855) 579-3536 |
| Full Name | Molly D Lisenby |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 22 Years |
| Location | 5009 N Executive Dr Ste B, Peoria, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023060001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-013673 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lisenby Physical Therapy For Women Inc | 6103069059 | 6 |
| Provider Name | Lisenby Physical Therapy For Women Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841638228 PECOS PAC ID: 6103069059 Enrollment ID: O20130826000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly D Lisenby, PT 5009 N Executive Dr, Ste B, Peoria, IL 61614-4866 Ph: (309) 472-2413 | Molly D Lisenby, PT 5009 N Executive Dr Ste B, Peoria, IL 61614 Ph: (309) 839-8631 |
Michelle C Bayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2338 W Van Winkle Way, Suite 3100, Peoria, IL 61615 Phone: 309-693-9189 Fax: 309-693-9946 | |
Payton Hufnagel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-883-5070 | |
Jonathan R Sutter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4109 | |
Matthew Schultz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111 | |
Vanessa L Halstead, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-687-2035 | |
Mrs. Theresa L. Snedden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-692-8110 |