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Kyle Lenihan

Physical Therapist โ€ข Bloomington, IL

Active NPI 1699422980 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1111 Trinity Ln
Bloomington, IL 617048111

Call 3096636461 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1111 Trinity Ln

Bloomington, IL 617048111

Telephone 3096636461
Fax 3096635711
Organization at the Same NPPES Address or Phone
Bloomington Medical Distribution Llc Facility NPI 1669918009

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Urbana, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Carle Health Care Incorporated; Carle West Physician Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare patients

74 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $23,091 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $18,168 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kyle Lenihan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Bloomington and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 70% of clinicians listed under Physical Therapist in Bloomington, IL (2024, 28 clinicians with data). Median for this group: 1,761. Middle half: 827 to 3,064.

Fewer Medicare Part B services than 70% of clinicians listed under Physical Therapist in Illinois (2024, 3,527 clinicians with data). Median for this group: 1,547. Middle half: 796 to 2,683.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Physical Therapist in Bloomington, IL (2024, 28 clinicians with data). Median for this group: $46,986. Middle half: $20,859 to $85,020.

A lower Medicare-allowed amount than 70% of clinicians listed under Physical Therapist in Illinois (2024, 3,527 clinicians with data). Median for this group: $42,337. Middle half: $21,718 to $70,818.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Physical Therapist in Bloomington, IL (2024, 28 clinicians with data). Median for this group: $35,840. Middle half: $15,209 to $63,150.

A lower Medicare payment amount than 70% of clinicians listed under Physical Therapist in Illinois (2024, 3,527 clinicians with data). Median for this group: $32,638. Middle half: $16,714 to $54,519.

90 active clinicians are listed under Physical Therapist with a practice address in Bloomington, IL (12,059 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 90 clinicians have the CMS telehealth indicator.

32.2% of these 90 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
611 74 $100.00 $21.42
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
152 51 $115.00 $28.93
97161 Evaluation for physical therapy, typically 20 minutes
47 42 $275.00 $94.97
97140 Therapy procedure using manual technique, each 15 minutes
45 23 $89.00 $18.33
97116 Therapy procedure for walking training, each 15 minutes
16 11 $99.00 $19.85

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-05
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES IL 070025859

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist - Orthopedic

NUCC Taxonomy Code: 2251X0800X

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20240301003430

Enrollment State Jurisdiction

IL

PECOS Control ID

1254776099

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Carle West Physician Group Inc

2204 Eastland Dr, Bloomington, IL 617043567

Phone: 3096630222

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Secondary Practice Locations

1400 W Park St

Urbana, IL 618012334

Phone: 2173374360

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Lucas Armstrong , MD

Orthopaedic Surgery

NPI 1174783880

Doctor of Medicine (M.D.)

Richard Bauersfeld , PT

Physical Therapist

NPI 1912915208

Physical Therapist

Dr. Wendell Becton , MD

Family Medicine - Sports Medicine

NPI 1649237504

Doctor of Medicine (M.D.)

Nicholas Burke , PT

Physical Therapist

NPI 1508367590

Physical Therapist

NPI 1578162210

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. John Dustman , MD

Orthopaedic Surgery

NPI 1760498497

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location March 05, 2024

Registered at 1111 TRINITY LN, BLOOMINGTON, IL 617048111 (Tel: 3096636461)

๐Ÿ“
Updated Business Mailing Address March 05, 2024

Registered at 1111 TRINITY LN, BLOOMINGTON, IL 617048111 (Tel: 3096636461)

โœ…
NPI Profile Active March 07, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 07, 2022

Registered at 1400 W PARK ST, URBANA, IL 618012334 (Tel: 2173374360)

๐Ÿ“
Business Mailing Address (Initial Record) March 07, 2022

Registered at 9358 WILSHIRE LN, BLOOMINGTON, IL 617055201

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 07, 2022

Recorded as KYLE LENIHAN

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2022

Physical Therapist

๐ŸŸข
Initial NPI Registration & Enumeration March 07, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699422980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2022
Last Update: March 05, 2024
Sole Proprietor: No

Other Physical Therapists in Bloomington

All Physical Therapists in Bloomington

Mailing Address

1111 Trinity Ln

Bloomington, IL 617048111

Phone: 3096636461

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.