Breanne Michele McKinney

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT120952 Issued in TX

Practice address

5530 SW Loop 820 Ste 202
Fort Worth, TX 76132-1864

Phone

(817) 901-1151

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1063168052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 BRYANT IRVIN RD # 33002",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324135",
            "telephone_number": "817-901-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 SW LOOP 820 STE 202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321864",
            "telephone_number": "817-901-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "BREANNE",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT120952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Luke McKenzie, P.T.
• Mary Cathrine McKenzie, MOT/OTR, CPRCS
• Kathy Lorraine McKeon, SLP
• Janna McKinley, LMFT-A
• Mary Temitope McKinley, PHD
• Janay Sherise McKinney, M.S. CCC-SLP
• Lisa Shauree McKinney
• Marilyn J McKinney, CRNA
• Shelia Yvonne McKinney
• Taylor E McKinney, ATC,LAT

• Massage Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.