McKenzie Perkins
Individual provider Active NPI Occupational Therapist · Wayland, NY
NPI 1093496945 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1093496945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 02766901 (NY)
- Practice address
- 10761 Isaman Rd
Wayland, NY 14572-9534 - Phone
- (585) 703-5236
- NPI assigned
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250509002299 | NY | Practitioner - Occupational Therapist in Private Practice | 9234656448 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02766901 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH Therapy Services | Occupational Therapist | Current |
Accepting new patients |
| JH Therapy Services | Occupational Therapist | Current |
Accepting new patients |
Locations
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 02766901 | NY | Yes |
Addresses
Primary practice location
10761 Isaman Rd
Wayland, NY 14572-9534
Mailing address
10761 Isaman Rd
Wayland, NY 14572-9534
Phone (585) 703-5236
Other providers in Wayland, NY
- Theresa Lynn Moore
- Gayle Mosher
- Samantha L Nelson
- Michelle M Osgood
- Brianna Carey Panipinto
- Penny Lu Peterson
- Jennifer Pragle
- Karrie Beth Prinzi
- Quinlans Pharmacy Inc
- Quinlans Pharmacy Inc
All providers in Wayland, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.