Cortney Tatiana McKinney

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01090300 Issued in NJ

Practice address

15-01 Broadway Ste 12
Fair Lawn, NJ 07410-6018

Phone

(201) 355-5199

NPI assigned

Sep 14, 2021

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Holsman Physical and Occupational Therapy PC

  • Physical Therapist
  • Rahway, NJ
  • NPI 1659079069

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1124798020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 12",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106018",
            "telephone_number": "201-355-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 12",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106018",
            "telephone_number": "201-355-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "CORTNEY",
        "middle_name": "TATIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01090300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C McConnell, M.D.
• Cheryl McCutchen, LSW, LCADC
• Megan Elizabeth McDermott, PT, DPT
• Chaye McIntosh, MS, LCADC
• William J McKeon, P.T., D.P.T.
• Nicole McQuillen, LCSW
• Medical Associates of Englewood, PC
• Medical Internists Assoc. PA
• Medical Massage Network LLC
• Medical Multispecialty Association PA

• Speech-Language Pathologist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.