Kenny Githere McKenzie, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

7414 Metcalf Avenue
Overland Park, KS 66204

Phone

(913) 648-6755

Fax

(913) 648-6770

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kenny Githere McKenzie Professional name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland Physical Therapy & Rehab Services, Inc

  • Physical Therapist
  • N Kansas City, MO
  • NPI 1740273218

  KS, Orthopedic

  Medicare reassignment Care Compare group NPD
• Dickson Diveley Midwest Orthopaedic Clinic LLC

  • Orthopaedic Surgery Physician
  • Leawood, KS
  • NPI 1669421509
  NPD (past)

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1699558056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 METCALF AVENUE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-648-6755",
            "fax_number": "913-648-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7414 METCALF AVENUE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-648-6755",
            "fax_number": "913-648-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KENNY",
        "middle_name": "GITHERE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNY",
            "last_name": "MCKENZIE",
            "middle_name": "GITHERE",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Lynn McIlwraith
• Christina Rena McKee, M A CCC SLP
• Jamie McKee
• Micaela Leigh McKenna, MSW, LCSW
• Cassandra Collins McKenzie, MA, DDS, MS
• Rebecca P McKeon, CRNA
• Christopher P McKinney, M.D.
• Jennifer Anne McKinsey, M.D.
• Tara McKinzy
• McKittrick Family Therapy

• Orthopedic Physical Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Orthopedic Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.