Makenzie Dianne Thomas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

910 E Main St
Lincolnton, NC 28092-3449

Phone

(704) 460-3440

NPI assigned

Mar 20, 2023

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

Practice roles

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.

• Comprehab LLC

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775

  Behavior Technician

  NPD (past)
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1114629656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280340037",
            "telephone_number": "704-616-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923449",
            "telephone_number": "704-460-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MAKENZIE",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Charlotte-Mecklenburg Hospital Authority
• The Charlotte-Mecklenburg Hospital Authority
• The Charlotte-Mecklenburg Hospital Authority
• The Shepherds Ranch, Inc.
• The Simple Life Services, Inc.
• Kimberly Arleen Thompson, LCMHCA, LCAS
• Cynthia Brittain Throneburg, FNP
• Timeless Smiles Mobile Dentistry
• Sarah Elizabeth Timmons, OTR/L
• Lauren Tinnell

• Behavior Technician in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.