Christopher Michael McKenzie, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT018791 Issued in PA

Practice address

161 Leverington Ave Ste 1004
Philadelphia, PA 19127-2076

Phone

(267) 332-8102

Fax

(877) 313-1445

NPI assigned

Sep 5, 2008

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKenzie Sports Therapy LLCGroup PAC ID 9537431457, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McKenzie Sports Therapy LLC

  • Sports Physical Therapist
  • Philadelphia, PA
  • NPI 1376967083
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1255589016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 LEVERINGTON AVE STE 1004",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272076",
            "telephone_number": "267-332-8102",
            "fax_number": "877-313-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 LEVERINGTON AVE STE 1004",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272076",
            "telephone_number": "267-332-8102",
            "fax_number": "877-313-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018791",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT018791",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT018791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chris@mckenziesportsphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "hippa compliant business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text email",
            "address_1": "161 Leverington Ave Ste 1004",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191272076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria McKenna, DNP, CRNP, PNP-AC
• Tina Marie McKennon, CRNP
• McKenzie Sports Therapy LLC
• Ann P. McKenzie, CRNP
• Arlene Gwendolyn McKenzie, PHARM. D.
• Dakota Lawton McKenzie, DDS
• Detra Diane McKenzie, RN
• Emma McKenzie, PT, DPT
• Judith G McKenzie, MD
• Julia Kerns McKenzie, APN

• Sports Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.