Mackenzie Taylor Lopez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160941708 Issued in WA

Practice address

1855 1St St
Cheney, WA 99004-1966

Phone

(509) 559-5038

NPI assigned

Jul 17, 2019

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

Other names 1

• Mackenzie Taylor Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apex Physical Therapy PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1538128442
  NPD

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1083267298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E WESTVIEW CT STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181376",
            "telephone_number": "509-465-5170",
            "fax_number": "509-465-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 1ST ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990041966",
            "telephone_number": "509-559-5038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E Westview Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181376",
            "country_code": "US",
            "telephone_number": "509-465-5170",
            "fax_number": "509-465-1748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10258 W Highway 2 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992245459",
            "country_code": "US",
            "telephone_number": "509-244-9968",
            "fax_number": "509-244-9914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10511 W Aero Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992247035",
            "country_code": "US",
            "telephone_number": "509-413-2140",
            "fax_number": "509-413-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MACKENZIE",
        "middle_name": "TAYLOR",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160941708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "DAVIS",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shavonne Lanier, PT
• Barbara E Laymance, DENTAL HYGIENIST
• Jodie Leuenberger, MSW
• Therese Louise Lindquist, PHARMD
• Cori R Lopez, DO
• John P Loudon, PA-C
• Kyle Christopher Loughery, LAT, ATC
• Alicia Marie Low, RN
• Bonnie Anne Mager
• Huy Khoi Mai, DDS

• Physical Therapy Assistant in Cheney, WA
• Providers in Cheney, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.