Laura Klein McKenzie, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10164 Issued in NC

Practice address

11812 Mountbatten Way
Raleigh, NC 27613-6015

Phone

(336) 847-1747

NPI assigned

May 10, 2006

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

Other identifiers 1

Other names 1

• Laura Ellen Klein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kernersville Rehab Specialists LLC

  • Physical Therapist
  • Kernersville, NC
  • NPI 1831157833
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1609826015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 MOUNTBATTEN WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136015",
            "telephone_number": "336-847-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 MOUNTBATTEN WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136015",
            "telephone_number": "336-847-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "LAURA",
        "middle_name": "KLEIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211965",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KLEIN",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reginald Charles McKeithan
• Lisa Fogel McKenna, M.D.
• Azariah Taylor-Marie McKenzie
• Heather Marie McKenzie, M.S., LCMHCS
• Kelly Grace McKenzie, OTR/L
• Lauren Harris McKenzie, NCMHCA, NCC
• Libbie Parker McKenzie, MD
• Lisette McKenzie
• Sheppard A. McKenzie IV, D.D.S.
• Sheppard Allen McKenzie III, MD

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

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

Verify at the official NPI Registry.