IndividualActive
Kelly Lieneke, LMT
NPI 1043583289 · Specialist · Melbourne, FL
Kelly Lieneke, LMT is a Specialist provider in Melbourne, FL (NPI 1043583289).
Provider details
- NPI number
- 1043583289
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA55378 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6300 N Wickham Rd Ste 116
Melbourne, FL 32940-2023
Phone: (321) 757-6899
Fax: (321) 757-6859
Street-level locationGet directions
Mailing address
3206 S Hopkins Ave # 19
Titusville, FL 32780-5667
Registry dates
- Enumerated
- 2012-02-20
- Last updated
- 2012-02-20
Frequently asked questions
- What is Kelly Lieneke's NPI number?
- Kelly Lieneke's National Provider Identifier (NPI) is 1043583289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Lieneke's specialty?
- Kelly Lieneke is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kelly Lieneke located?
- Kelly Lieneke's practice location on file with NPPES is 6300 N Wickham Rd Ste 116, Melbourne, FL 32940-2023.
- What is Kelly Lieneke's phone number?
- The practice phone number listed in the NPPES registry for Kelly Lieneke is (321) 757-6899.
- Is Kelly Lieneke's NPI active?
- Yes — Kelly Lieneke's NPI (1043583289) is active in the NPPES registry as of the last update on 2012-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.