MEDICARE: MR. CHRISTOPHER KEVIN LENIHAN P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P14069	NC

General Provider Information

NPI Number	:	1841445004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER KEVIN LENIHAN P.T.

Provider Business Mailing Address
First Line	:	2826 RANDOLPH RD FL 2
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1359
Country	:	US
Telephone Number	:	704-366-5521
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 MARYLAND AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-1535
Country	:	US
Telephone Number	:	704-307-5637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	10/28/2025

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