McKenzie Stclair, OTR-L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12414175-4201 Issued in UT

Practice address

133 W Canley Vale LN
South Salt Lake, UT 84115-3160

Phone

(801) 995-9270

NPI assigned

May 15, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in UT

Enrollment records 1

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.

• Home Clinix Utah LLC

  • Specialist
  • Cedar Hills, UT
  • NPI 1891455895

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1649917386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W CANLEY VALE LN",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153160",
            "telephone_number": "801-995-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W CANLEY VALE LN",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153160",
            "telephone_number": "801-995-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STCLAIR",
        "first_name": "MCKENZIE",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "12414175-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill H Sparks, MS, CCC-SLP
• Remick Elise Spencer, OTR/L
• Sara Spencer
• St Anthony House Treatment Program
• Starzz Transportation
• Nicole Stenquist, MS CCC-SLP
• Ysabelle Stepp
• Jonathan Michael Stiles, LICSW, LCSW
• Allyson B Stockdale
• Tyler Storey

• Occupational Therapist in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.