McKenzie Sports Therapy LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT018791 Issued in PA

Legal business name

MCKENZIE SPORTS THERAPY LLC

Practice address

161 Leverington Ave Ste 1004
Philadelphia, PA 19127-2076

Phone

(267) 332-8102

Fax

(877) 313-1445

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Christopher Michael McKenzie, PT, DPTNPI 1255589016

Title

Owner/Physical Therapist

Phone

(267) 332-8102

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Michael McKenzie, PT, DPT

  • Sports Physical Therapist
  • Philadelphia, PA
  • NPI 1255589016
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Maseth, DPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1629854054
  Medicare reassignment Care Compare group NPD
• Peter Miller

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1023658432
  Medicare reassignment Care Compare group NPD
• Kevin E Gard, DPT, OCS

  • Orthopedic Physical Therapist
  • Philadelphia, PA
  • NPI 1477527141
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1376967083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 LEVERINGTON AVE STE 1004",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272076",
            "telephone_number": "267-332-8102",
            "fax_number": "877-313-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 LEVERINGTON AVE STE 1004",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272076",
            "telephone_number": "267-332-8102",
            "fax_number": "877-313-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE SPORTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "267-332-8102",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT018791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chris@mckenziesportsphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "hippa compliant secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text email",
            "address_1": "161 Leverington Ave Ste 1004",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191272076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Anne McKenna, MSN,FNP
• Paul Bernard McKenna, M.D.
• Rachel A McKenna, CRNP
• Victoria McKenna, DNP, CRNP, PNP-AC
• Tina Marie McKennon, CRNP
• Ann P. McKenzie, CRNP
• Arlene Gwendolyn McKenzie, PHARM. D.
• Christopher Michael McKenzie, PT, DPT
• Dakota Lawton McKenzie, DDS
• Detra Diane McKenzie, RN

• Sports Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.