Active NPI
Mackenzie Robbins, PT, DPT
- Pediatrics Physician
- Clinton, NY
National Provider Identifier
1194445866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 049231-01
- Practice address
- 44 Dwight Ave
Clinton, NY 13323-1600 - Phone
- (315) 723-2886
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 049231-01 | NY | Primary |
Addresses
Primary practice location
44 Dwight Ave
Clinton, NY 13323-1600
Mailing address
8294 E Floyd Rd
Rome, NY 13440-0646
Phone (315) 225-6134
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049231-01 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1194445866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8294 E FLOYD RD",
"city": "ROME",
"state": "NY",
"postal_code": "134400646",
"telephone_number": "315-225-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 DWIGHT AVE",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231600",
"telephone_number": "315-723-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "MACKENZIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "049231-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.