Mackenzie Ward, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

25942 Issued in CA

Practice address

1321 College St
Woodland, CA 95695-4706

Phone

(530) 668-1010

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

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

Other names 1

• Mackenzie Stille Former name

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1225862741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 36TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163944",
            "telephone_number": "530-219-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 COLLEGE ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954706",
            "telephone_number": "530-668-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MACKENZIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "25942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "STILLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walmart Inc. (WalMart Pharmacy 10-4127)
• Cierra Nicole Walton
• Rosalind Wambugu
• Kingsley Lim Wang, DDS
• Lei Wang, MD
• Glen Warganich-Stiles, DDS
• Michelle Warren, RN
• Rachel Michelle Warren, LMFT
• Saher Wasim
• Alicia Wasklewicz, MPA

• Pediatric Occupational Therapist in Woodland, CA
• Providers in Woodland, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.