Organization Active NPI

Built 4 It Athletics

  • Physical Therapist
  • Southlake, TX
National Provider Identifier
1265205272
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BUILT 4 IT ATHLETICS
Practice address
1800 E State Highway 114 Ste 101
Southlake, TX 76092-6529
Phone
(469) 919-6299
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Kecia McKenzie, DPT
Title
Owner/Provider
Phone
(464) 919-6299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1800 E State Highway 114 Ste 101
Southlake, TX 76092-6529

Mailing address

1800 E State Highway 114 Ste 101
Southlake, TX 76092-6529
Phone (469) 919-6299

Other names 1

  • Built 4 It Southlake Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1265205272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E STATE HIGHWAY 114 STE 101",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926529",
            "telephone_number": "469-919-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E STATE HIGHWAY 114 STE 101",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926529",
            "telephone_number": "469-919-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILT 4 IT ATHLETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "KECIA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "464-919-6299",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Built 4 It Southlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.