Individual provider Active NPI

Terri J McKenzie

  • Occupational Therapist
  • West Palm Beach, FL
National Provider Identifier
1730203803
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4730 Issued in FL
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT4730FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Therapeutics Inc Occupational Therapist PastSince Oct 1, 1999 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.

Verify at the official NPI Registry.