Havala McKinney

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

20690 Issued in MD

Practice address

31 Walker Ave
Baltimore, MD 21208-4022

Phone

(410) 415-3515

NPI assigned

Feb 28, 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

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1104383876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 MCDONOGH RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WALKER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084022",
            "telephone_number": "410-415-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3916 McDonogh Rd",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211333602",
            "country_code": "US",
            "telephone_number": "410-908-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "HAVALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "20690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sereita Inaia McKinley
• Benjamin Loyd McKinney, D.O.
• Braana McKinney
• Christine Dawn McKinney, RD
• Donnie Ray McKinney Jr., PT
• Jamour McKinney
• Kamille McKinney, MSW
• Kathryn Joy McKinney, BSN,RN
• Kellie O'Leary McKinney, MS, LCPC
• Mary Ann McKinney

• Pediatric Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.