Individual provider Active NPI

Conor W McKee, PT

  • Orthopedic Physical Therapist
  • Lutz, FL
National Provider Identifier
1154559524
Registry record updated Jan 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT24768 Issued in FL
Practice address
18860 N Dale Mabry Hwy
Lutz, FL 33548-4978
Phone
(813) 347-2539
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT24768 FL Primary

Addresses

Primary practice location

18860 N Dale Mabry Hwy
Lutz, FL 33548-4978

Mailing address

18207 Clear Lake Dr
Lutz, FL 33548-6404
Phone (813) 347-2539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000448 FL Practitioner - Physical Therapist in Private Practice 2567601818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Florida College of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
McKee Therapy Specialists, LLCGroup PAC ID 7719283050, 4 clinicians

Practice addresses (Care Compare)

18860 N Dale Mabry Hwy
Lutz, FL 33548-4978
Phone (813) 693-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKee Therapy Specialists, LLC CurrentSince Feb 7, 2016 Accepting new patients

Locations

18860 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 347-2539

18858 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 693-4000

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451692800000",
    "number": "1154559524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18207 CLEAR LAKE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486404",
            "telephone_number": "813-347-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18860 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484978",
            "telephone_number": "813-347-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "CONOR",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2016-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT24768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.