Mackenzie Creehan

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1005 Pacific Coast Hwy # A2
Seal Beach, CA 90740-6214

Phone

(562) 598-5500

Fax

(562) 598-5550

NPI assigned

Oct 5, 2015

Last updated

Oct 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Seal Beach Physical Therapy Inc.

  • Physical Therapist
  • Seal Beach, CA
  • NPI 1316262983
  NPD (past)
• Xcelerate Physical Therapy Inc.

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1306814124
  NPD (past)

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1114397023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PACIFIC COAST HWY # A2",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406214",
            "telephone_number": "562-598-5500",
            "fax_number": "562-598-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PACIFIC COAST HWY # A2",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406214",
            "telephone_number": "562-598-5500",
            "fax_number": "562-598-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEHAN",
        "first_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Contreras, LMFT
• Jeremy L Cook, DPM
• Diane Costandi, DDS
• Vitoria Cottiss, AMFT
• Justin Cowan, DDS
• Cynthia D. Croslin, FNP-C
• Zachary D'Sa
• Diane Mercina Dahi, MT, FDNP, BA
• Daniel a. Herman Chiropractic, Inc
• Elizabeth Darrah, BCBA

• Physical Therapist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.