Jacob McKenzie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07381 Issued in LA

Practice address

2101 Knowles Dr
Ruston, LA 71270-2618

Phone

(504) 834-9259

Fax

(504) 834-9281

NPI assigned

Sep 11, 2008

Last updated

Mar 9, 2020By the provider in NPPES

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

Other names 1

• Dr. Jake McKenzie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Danni Jones Physical Therapy

  • Specialist
  • Ruston, LA
  • NPI 1104006667
  NPD (past)
• The Movement Science Center

  • Physical Therapy Clinic/Center
  • Covington, LA
  • NPI 1013468677
  NPD (past)
• The Movement Science Center

  • Physical Therapist
  • Metairie, LA
  • NPI 1477554442
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1316196553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KNOWLES DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702618",
            "telephone_number": "318-548-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 KNOWLES DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702618",
            "telephone_number": "504-834-9259",
            "fax_number": "504-834-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "MCKENZIE",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christy Djada McGhee
• Tanya McGowan, OT
• Brenda L McIntyre, M.D.
• Amy McKaskle, LPC
• Hannah Lowe McKenzie, PT
• Karmyn Dene' McLeroy
• Susann McMahen, DDS
• Anna Amelia McMahon, LPC
• Janna Carroll McMasters, LPC-S
• Andrea S McMurry

• Physical Therapist in Ruston, LA
• Providers in Ruston, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.