NPIMap

Organization Active NPI

McKee Therapy Specialists, LLC

  • Physical Therapy Clinic/Center
  • Lutz, FL
National Provider Identifier
1619333994
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT24768 Issued in FL
Legal business name
MCKEE THERAPY SPECIALISTS, LLC
Practice address
18860 N Dale Mabry Hwy
Lutz, FL 33548-4978
Phone
(813) 693-4000
NPI assigned
Jan 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Conor McKee, DPTNPI 1154559524
Title
Ceo
Phone
(813) 347-2539

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
Physical Therapy Clinic/Center 261QP2000X PT24768 FL Primary

Addresses

Primary practice location

18860 N Dale Mabry Hwy
Lutz, FL 33548-4978

Mailing address

18207 Clear Lake Dr
Lutz, FL 33548-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160311001045 FL Part B Supplier - Clinic/Group Practice 7719283050 Receives reassigned benefits from 8 practitioners
Practice locations: Lutz, FL

National Provider Directory

National Provider Directory

Locations

18860 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 347-2539

18858 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 693-4000

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1619333994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18207 CLEAR LAKE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18860 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484978",
            "telephone_number": "813-693-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKEE THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-02",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "CONOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-347-2539",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT24768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.