McKenzi Ellis Edwards

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12327 Issued in NC

Practice address

2710 Market St
Wilmington, NC 28403-1218

Phone

(910) 662-8135

Fax

(910) 667-8666

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• At Home Therapy Franchising, LLC

  • Physical Therapist
  • Wrightsville Beach, NC
  • NPI 1922639939

  Occupational Therapist

  NPD
• At Home Therapy of Wilmington, Inc.

  • Occupational Therapist
  • Wrightsville Beach, NC
  • NPI 1174620371
  NPD

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1487117453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-8135",
            "fax_number": "910-667-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031218",
            "telephone_number": "910-662-8135",
            "fax_number": "910-667-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4503 Main St",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704447",
            "country_code": "US",
            "telephone_number": "910-721-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MCKENZI",
        "middle_name": "ELLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Kevin Edwards, MA LPA
• James Douglas (Doug) Edwards, LCSW
• Joanna Edwards
• Kimberly Reynolds Edwards, MD
• Macie Adele Edwards
• Patrick Scott Edwards, MD
• Rebecca S. Edwards, PA
• Robert Wesley Edwards Jr., RPH
• James Patrick Egerer, P.A.
• Jeanette Joy Egerer, M.S. OTR/L

• Occupational Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.