LISENBY PHYSICAL THERAPY FOR WOMEN, INC.
NPI 1841638228
Clinic/Center - Physical Therapy in Peoria, IL

Active since June 07, 2013
5101 N EXECUTIVE DR, PEORIA, IL 61614(309) 839-8631(855) 579-3536 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisenby Physical Therapy For Women, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISENBY PHYSICAL THERAPY FOR WOMEN, INC. (NPI 1841638228), doing business as Mckenna Physical Therapy, Inc., is a healthcare organization registered as a physical therapy in Peoria, Illinois and active in the NPI registry since June 2013. The organization maintains a secondary practice location in Germantown Hills and lists Molly Lisenby, President, as its authorized official.

NPPES Registry Identity

NPI1841638228
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLISENBY PHYSICAL THERAPY FOR WOMEN, INC.
Location Address5101 N EXECUTIVE DRPeoria, IL 61614-4868
Mailing Address5101 N Executive DrPeoria, IL 61614-4868 · (309) 839-8631 · Fax (855) 579-3536
Fax(855) 579-3536
Organization SubpartNo
Authorized OfficialMolly LisenbyPresident · (309) 839-8631
Enumeration DateJune 7, 2013
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1841638228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in IL · 070013673
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
5101 N EXECUTIVE DR, Peoria, IL 61614

Other Names 2

Former Legal Business NameMckenna Physical Therapy, Inc.
Doing Business AsMckenna Physical Therapy

Secondary Practice Location 1

Location 1513 Jubilee LnGermantown Hills, IL 61548-8449 · Phone (309) 839-8631 · Fax (855) 579-3536

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisenby Physical Therapy For Women, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Lisenby Physical Therapy For Women, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1194881029
5101 N EXECUTIVE DR
Peoria, IL 61614
(309) 839-8631
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1790296929
5101 N EXECUTIVE DR
Peoria, IL 61614
(309) 839-8631
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1023060001
5009 N EXECUTIVE DR STE B
Peoria, IL 61614
(309) 839-8631
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1467994897
5009 N EXECUTIVE DR
Peoria, IL 61614
(309) 839-8631
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1265837397
507 E ARMSTRONG AVE
Peoria, IL 61603
(309) 686-1177
✔ Accepts Medicare3.2 mi
Physical Therapist in Private Practice
NPI 1396898581
303 N WILLIAM KUMPF BLVD
Peoria, IL 61605
(309) 676-5546
✔ Accepts Medicare4.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisenby Physical Therapy For Women, Inc.'s NPI number?

The NPI number for Lisenby Physical Therapy For Women, Inc. is 1841638228. It was assigned to this organization in the NPPES registry on June 7, 2013. The provider is doing business as McKenna Physical Therapy. The provider was formerly known as Mckenna Physical Therapy, Inc..

Where is Lisenby Physical Therapy For Women, Inc. located?

Lisenby Physical Therapy For Women, Inc. is located at 5101 N Executive Dr, Peoria, IL 61614. The listed phone number is (309) 839-8631.

What is Lisenby Physical Therapy For Women, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Lisenby Physical Therapy For Women, Inc. enrolled in Medicare?

Yes. Lisenby Physical Therapy For Women, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lisenby Physical Therapy For Women, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Lisenby Physical Therapy For Women, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lisenby Physical Therapy For Women, Inc. was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.