McKenzie Timmons, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0020524 Issued in CO

Practice address

611 Korte Way
Longmont, CO 80501-6366

Phone

(303) 776-7417

NPI assigned

Aug 7, 2024

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.

• The Tiny Tim Center, Inc.

  • Clinic/Center
  • Longmont, CO
  • NPI 1568519320
  NPD (past)
• Montgomery County Educational Service Center

  • Local Education Agency (LEA)
  • Dayton, OH
  • NPI 1457590101
  NPD (past)

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1689405136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11998 RIDGE PKWY",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800215160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 KORTE WAY",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016366",
            "telephone_number": "303-776-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "MCKENZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "021304",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Elizabeth Tibbetts, PA-C
• Jessica Anne Tierney, DPT
• Morris Edward Tilden, M.D.
• Elisha P. Tilton, MD
• Christina Timm
• Soltahr Tiv-Amanda, M.A., L.P.C.
• Patricia Diane Toillion, OTR
• Maximilian Tolczyk
• Halley Tollner
• Nicholas James Tomasi, DO

• Physical Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.