Mackenzie Hamblin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

850 Country Manor LN
Creve Coeur, MO 63141-6651

Phone

(314) 434-5900

NPI assigned

Aug 9, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1164032660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COUNTRY MANOR LN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416651",
            "telephone_number": "314-434-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COUNTRY MANOR LN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416651",
            "telephone_number": "314-434-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "MACKENZIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Na",
            "affiliation": "N",
            "address_1": "850 Country Manor Ln",
            "city": "Creve Coeur",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah-Ngoc T Ha, M.D.
• Kathryn Ann Hackman, D.O.
• Sarah Haenchen
• Scott Hainz, DC
• Ashley Diane Halker, B.A.
• Maram Hamdan, PHARMD.
• Harley J Hammerman, M.D.
• Susan Hammett-Sears, CCC-SLP
• Erika Hampton
• Melissa Marie Hanegan, D.C.

• Physical Therapy Assistant in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; 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.