Individual provider Active NPI

Steven G McKenzie, MS, PT, HPCS

  • Physical Therapist
  • Woodinville, WA
National Provider Identifier
1659499077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9994 Issued in WA
Practice address
19802 NE 148TH St
Woodinville, WA 98077-7698
Phone
(425) 882-1554
Fax
(425) 883-1818
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9994 WA Primary

Addresses

Primary practice location

19802 NE 148TH St
Woodinville, WA 98077-7698

Mailing address

19103 27TH Dr SE
Bothell, WA 98012-6908
Phone (425) 882-1554

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9994WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Bit Therapeutic Riding Center Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659499077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19103 27TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126908",
            "telephone_number": "425-882-1554",
            "fax_number": "425-883-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19802 NE 148TH ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980777698",
            "telephone_number": "425-882-1554",
            "fax_number": "425-883-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "MS, PT, HPCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "9994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

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.

Verify at the official NPI Registry.