Active NPI
Terri J McKenzie
- Occupational Therapist
- West Palm Beach, FL
National Provider Identifier
1730203803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4730
- Practice address
- 13929 Citrus Grove Blvd
West Palm Beach, FL 33412-3201 - Phone
- (561) 798-0803
- Fax
- (561) 798-0803
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT4730 | FL | Primary |
Addresses
Primary practice location
13929 Citrus Grove Blvd
West Palm Beach, FL 33412-3201
Mailing address
13929 Citrus Grove Blvd
West Palm Beach, FL 33412-3201
Phone (561) 798-0803
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4730 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Therapeutics Inc | Occupational 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": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730203803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13929 CITRUS GROVE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334123201",
"telephone_number": "561-798-0803",
"fax_number": "561-798-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13929 CITRUS GROVE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334123201",
"telephone_number": "561-798-0803",
"fax_number": "561-798-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "TERRI",
"middle_name": "J",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT4730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.