Conor Christian McKenna

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606041 Issued in VA

Practice address

222 Fulcher St
Hillsville, VA 24343-1633

Phone

(276) 728-2486

NPI assigned

Aug 11, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1194453696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DOGWOOD LN",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243483509",
            "telephone_number": "276-779-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 FULCHER ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431633",
            "telephone_number": "276-728-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CONOR",
        "middle_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Mackowiak, PT, DPT
• Tommi Suszan Malavolti, D.C.
• Marlon a Goad DDS PC
• Sonya Kaye Martin, D.D.S.
• Barry Marshall Mayberry, M.D.
• Katie L McKown, D.C.
• Robin McMillian, LPC
• David Pendleton McPherson, M.D.
• Robert Charles Menezes Jr., MD
• Samantha Miller, LCSW

• Physical Therapy Assistant in Hillsville, VA
• Providers in Hillsville, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.