Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Molly D Lisenby, PT

Individual provider Physical Therapist · NPI 1023060001

Molly D Lisenby, PT is a Physical Therapist in Private Practice in Peoria, Illinois. Qualified in 2003, 23 years ago. Practices with Lisenby Physical Therapy for Women Inc, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5009 N Executive Dr Ste B
Peoria, IL 61614
Phone: (309) 839-8631
Fax: (855) 579-3536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 719 W Lake Ave, Peoria, IL 61614-5941 — (309) 839-8631

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-013673 (IL)

Record details

NPI number1023060001
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 31, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Lisenby Physical Therapy For Women Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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