Individual provider Active NPI

Mackenzie McMackin, OTD,OTR/L

  • Occupational Therapist
  • Cranberry TWP, PA
National Provider Identifier
1174345805
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC020312 Issued in PA
Practice address
20397 Route 19 Ste 30
Cranberry TWP, PA 16066-6102
Phone
(885) 887-7332
Fax
(724) 473-3253
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC020312 PA Primary

Addresses

Primary practice location

20397 Route 19 Ste 30
Cranberry TWP, PA 16066-6102

Mailing address

2620 Constitution Blvd Ste 202
Beaver Falls, PA 15010-1278
Phone (855) 887-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC020312PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talktime Speech Therapy, LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

2620 Constitution Blvd
Ste 202
Beaver Falls, PA 15010
Phone (724) 201-9796

20397 Route 19
Ste 30
Cranberry Twp, PA 16066
Phone (855) 887-7332

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": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1174345805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CONSTITUTION BLVD STE 202",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101278",
            "telephone_number": "855-887-7332",
            "fax_number": "724-647-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19 STE 30",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666102",
            "telephone_number": "885-887-7332",
            "fax_number": "724-473-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMACKIN",
        "first_name": "MACKENZIE",
        "credential": "OTD,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC020312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.