Active NPI
John C McKenzie, PT
- Physical Therapist
- Pennsville, NJ
National Provider Identifier
1245248285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00171100
- Practice address
- 390 N Broadway
Suite 400
Pennsville, NJ 08070 - Phone
- (856) 678-7011
- Fax
- (856) 678-2820
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00171100 | NJ | Primary |
Addresses
Primary practice location
390 N Broadway
Suite 400
Pennsville, NJ 08070
Mailing address
7 Seeley Rd
Bridgeton, NJ 08302
Phone (856) 241-2222
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 |
|---|---|---|---|
| 40QA00171100 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245248285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SEELEY RD",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "08302",
"telephone_number": "856-241-2222",
"fax_number": "856-241-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 N BROADWAY",
"address_2": "SUITE 400",
"city": "PENNSVILLE",
"state": "NJ",
"postal_code": "08070",
"telephone_number": "856-678-7011",
"fax_number": "856-678-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00171100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pennsville, NJ
- Mazzuca Eye and Laser Centers
- Mazzuca Eye and Laser Centers,PA
- Douglas Edward Mazzuca, DO
- Douglas Edward Mazzuca Jr., D.O.
- Bridgett Elizabeth McCaffery O'Brien
- Medexpress Urgent Care - New Jersey, Inc
- Elizabeth Mesogianes, MT-BC
- Mid-Atlantic States Career and Education Center
- Mid-Atlantic States Career and Education Center
- Mitchell Bober, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.