Mackenzie Conway, OTR
Individual provider Active NPI Occupational Therapist · Plano, TX
NPI 1033949326 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1033949326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 122555 (TX)
- Practice address
- 4825 Alliance Blvd Ste 200
Plano, TX 75093-5578 - Phone
- (469) 606-1378
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122555 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bir JV LLP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 122555 | TX | Yes |
Addresses
Primary practice location
4825 Alliance Blvd Ste 200
Plano, TX 75093-5578
Mailing address
4825 Alliance Blvd Ste 200
Plano, TX 75093-5578
Phone (469) 606-1378
Other providers in Plano, TX
- Consulting 4 Children on the Spectrum, LLC.
- Consulting Orthopedists
- Alyson D'Nae Contakos
- Contemporary Facial and Oral Surgery PLLC
- Contemporary Women'S Care, PA
- Christian A Cook
- Ernest Lee Cook
- Heidi Beth Cook
- Jacy Lynn Cook
- Jennifer Cook
All providers in Plano, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.