Elizabeth Marie McKenna, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1323586 Issued in TX

Practice address

14207 Higgins Rd
San Antonio, TX 78217-1252

Phone

(210) 826-4492

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Brighton Center

  • Early Intervention Provider Agency
  • San Antonio, TX
  • NPI 1598820425
  NPD (past)
• M Winter & Associates Pediatric Rehabilitation Center Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Katy, TX
  • NPI 1891728085
  NPD (past)
• M. Winter & Associates Pediatric Therapy Centers, LTD

  • Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1205874773
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1659929255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25031 BUTTERMILK LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552335",
            "telephone_number": "361-492-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14207 HIGGINS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171252",
            "telephone_number": "210-826-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1323586",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1323586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Theresa McKeever, DDS
• Latonya McKellar
• Patrick A McKendrick, LMSW
• Drew Elizabeth McKenna, AU.D.
• Eileen McKenna
• Rachel McKenna
• Elizabeth Diane McKenzie
• Heather A McKenzie, M.D.
• Maricela McKenzie
• Renee S. McKenzie, CRNA

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.