Active NPI
Deborah Ann McKenzie, PT
- Physical Therapist
- Lansing, MI
National Provider Identifier
1518189695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501002828
- Practice address
- 3394 E Jolly Road
Ingham Regional Medical Center Rebound Rehab
Lansing, MI 48910 - Phone
- (517) 372-6291
- Fax
- (517) 346-4844
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501002828 | MI | Primary |
Addresses
Primary practice location
3394 E Jolly Road
Ingham Regional Medical Center Rebound Rehab
Lansing, MI 48910
Mailing address
7968 Woodbury Road
Laingsburg, MI 48848
Phone (517) 651-7752
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 |
|---|---|---|---|
| 5501002828 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518189695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7968 WOODBURY ROAD",
"city": "LAINGSBURG",
"state": "MI",
"postal_code": "48848",
"telephone_number": "517-651-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3394 E JOLLY ROAD",
"address_2": "INGHAM REGIONAL MEDICAL CENTER REBOUND REHAB",
"city": "LANSING",
"state": "MI",
"postal_code": "48910",
"telephone_number": "517-372-6291",
"fax_number": "517-346-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501002828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.