Organization Active NPI

McKenzie Therapy Company,LLC

  • Speech-Language Pathologist
  • Simpsonville, SC
National Provider Identifier
1568957504
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5020 Issued in SC
Legal business name
MCKENZIE THERAPY COMPANY,LLC
Practice address
303 Barrett Chase Dr
Simpsonville, SC 29680-7675
Phone
(803) 942-1952
NPI assigned
Jun 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Nina Christine McKenzieNPI 1619389590
Title
Speech Language Pathologist/Owner
Phone
(803) 942-1952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5020 SC Primary

Addresses

Primary practice location

303 Barrett Chase Dr
Simpsonville, SC 29680-7675

Mailing address

303 Barrett Chase Dr
Simpsonville, SC 29680-7675
Phone (803) 942-1952

Other identifiers 1

IdentifierTypeStateIssuer
SA1467MedicaidSC

Other names 1

  • McMillan Therapies, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1568957504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BARRETT CHASE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807675",
            "telephone_number": "803-942-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BARRETT CHASE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807675",
            "telephone_number": "803-942-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE THERAPY COMPANY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "803-942-1952"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1467",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMillan Therapies, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.