Makenzie Wells

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2846 Issued in SC

Practice address

104 Maxwell Ave
Greenwood, SC 29646-2641

Phone

(864) 229-7529

Fax

(864) 229-7530

NPI assigned

Apr 14, 2015

Last updated

Apr 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1730575937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HARMONY RD",
            "city": "WARE SHOALS",
            "state": "SC",
            "postal_code": "296922830",
            "telephone_number": "864-992-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAXWELL AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462641",
            "telephone_number": "864-229-7529",
            "fax_number": "864-229-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MAKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Webnar, LISW
• Derrelyn B Weeks
• John Franklin Weeks
• Alisa E Weese
• Anna Grace Weiland, PHARMD
• Mittie Grace Wentworth
• Wesley Commons
• Charles A West, DDS
• Cynthia Gilliam West, CRNA
• Western Carolina Oral & Maxillofacial Surgery, PA

• Physical Therapy Assistant in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.