Sarah Wynne Mackay, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052987 Issued in NY

Practice address

4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594

Phone

(843) 894-7374

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kidscare Home Health of South Carolina, LLC

  • Home Health Agency
  • North Charleston, SC
  • NPI 1942952932
  NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1366265126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HERITAGE LN",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803714",
            "telephone_number": "914-830-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 FABER PLACE DR STE 420",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058594",
            "telephone_number": "843-894-7374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 North St",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106052209",
            "country_code": "US",
            "telephone_number": "914-597-4109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "SARAH",
        "middle_name": "WYNNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052987",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob David Macdonald, OD
• Rachael Macdonald, M.S. CCC-SLP
• Gaston G Machado, MD
• Debra Anne Mack, PA-C
• Shywanna Mack, RN
• Melissa Margaret Mackey
• Ann Ward Maggard, OTLR
• Ashley Chaniece Magwood
• Renuka Mahatara, DO
• Margaret Mahoney, OTD R/L

• Physical Therapist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.