Active NPI
Elizabeth McConnell, L.M.T.
- Mechanotherapist
- Goodyear, AZ
National Provider Identifier
1316245087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT-06088
- Practice address
- 14462 W Coronado Rd
Goodyear, AZ 85395-7513 - Phone
- (602) 750-4557
- NPI assigned
- Mar 4, 2011
- Last updated
- Mar 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT-06088 | AZ | Primary |
Addresses
Primary practice location
14462 W Coronado Rd
Goodyear, AZ 85395-7513
Mailing address
14462 W Coronado Rd
Goodyear, AZ 85395-7513
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 |
|---|---|---|---|
| MT-06088 | AZ | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1316245087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14462 W CORONADO RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853957513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14462 W CORONADO RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853957513",
"telephone_number": "602-750-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "ELIZABETH",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "AZ",
"license": "MT-06088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.