Crystal McKenzie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29195 Issued in FL

Practice address

12625 Race Track Rd
Tampa, FL 33626-1331

Phone

(813) 343-3960

NPI assigned

May 16, 2017

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dah Therapies LLCGroup PAC ID 5395078968, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Dah Therapies LLC

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1407325467
  Medicare reassignment Care Compare group NPD
• McKee Therapy Specialists, LLC

  • Physical Therapy Clinic/Center
  • Lutz, FL
  • NPI 1619333994
  Medicare reassignment NPD
• Burke Collins Therapy, Inc

  • Orthopedic Physical Therapist
  • Brandon, FL
  • NPI 1730295734
  NPD (past)
• Physical Therapy at Home Inc

  • Physical Therapist
  • Venice, FL
  • NPI 1346505559
  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1174050587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261331",
            "telephone_number": "813-343-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Speech and Language Therapy, P.a.
• David Anthony McKenna, D.C.
• Meaghan Allyson McKenna
• Ohara Lorraine McKenna, D.C.
• Amy McKenzie, LMHC
• Jamie E. McKenzie, MD
• Leanna McKenzie, CRNP
• Monica McKenzie
• Bri Anne McKeon, MD
• Patrick James McKeon II, PHARMD.

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.