Neil Thomas McKenna, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25475 Issued in CA

Practice address

674 Via de la Valle Ste 226
Solana Beach, CA 92075-3406

Phone

(858) 436-7092

Fax

(858) 876-1605

NPI assigned

Jun 20, 2006

Sex

Male

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)

Enrolled

State licenses

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.

• Gaspar Physical Therapy

  • Specialist
  • Carlsbad, CA
  • NPI 1013966985
  NPD (past)
• Gaspar Physical Therapy a Professional Corporation

  • Specialist
  • Carlsbad, CA
  • NPI 1952544405

  Physical Therapist

  NPD (past)
• Inniss Physical Therapy, a Professional Corporation

  • Orthopedic Physical Therapist
  • San Diego, CA
  • NPI 1568519114

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1124064191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 VIA DE LA VALLE STE 226",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920753406",
            "telephone_number": "858-436-7092",
            "fax_number": "858-876-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 VIA DE LA VALLE STE 226",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920753406",
            "telephone_number": "858-436-7092",
            "fax_number": "858-876-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "NEIL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Jessica Maxwell, PSY.D.
• Charles Francis Mayberry, L.AC.
• Tami Mayers, PHARM.D.
• Rosalily Mayorquin
• Mary M. Mazaheri, PH.D.
• Bryan McLeod, PT, DPT
• Michele C McNiff, RN MSN HWNC-BC AHN-B
• Robert McWhirter, M.D.
• Francesca Medina, ND
• Leila Meeve Chie, DMD

• All providers in Solana Beach, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.