Individual provider Active NPI

McKenzi R Jozic, D.P.T.

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1366882672
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5149 Issued in NM
Practice address
2607 Wyoming Blvd NE
Albuquerque, NM 87112-1029
Phone
(505) 296-9521
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014260 OH
Physical Therapist 225100000X 5149 NM Primary

Addresses

Primary practice location

2607 Wyoming Blvd NE
Albuquerque, NM 87112-1029

Mailing address

PO Box 33396
N Royalton, OH 44133-0396
Phone (440) 230-1133

Other practice location 1

5340 Royalton Rd
N Royalton, OH 44133-4008
Phone (440) 230-1133

Other names 1

  • Dr. McKenzi R Vanfossen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000736 OH Practitioner - Physical Therapist in Private Practice 7810138294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthounited, Inc.Group PAC ID 9032197868, 89 clinicians

Practice addresses (Care Compare)

7442 Frank Ave NW
North Canton, OH 44720-7018
Phone (330) 305-0838

Merit-based Incentive Payment System (MIPS)

Final score
80.13 of 100Reported as group
Quality
74.6
Promoting interoperability
70
Improvement activities
40
Cost
84.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5149NMMDPhysical Therapist
PT014260OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthounited, Inc. Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Orthounited, Inc. Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Tricounty Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366882672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33396",
            "city": "N ROYALTON",
            "state": "OH",
            "postal_code": "441330396",
            "telephone_number": "440-230-1133",
            "fax_number": "440-230-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121029",
            "telephone_number": "505-296-9521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5340 Royalton Rd",
            "address_purpose": "LOCATION",
            "city": "N Royalton",
            "state": "OH",
            "postal_code": "441334008",
            "country_code": "US",
            "telephone_number": "440-230-1133",
            "fax_number": "440-230-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOZIC",
        "first_name": "MCKENZI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014260",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "5149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENZI",
            "last_name": "VANFOSSEN",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.