Individual provider Active NPI

McKenzie Browning, PTA

  • Physical Therapy Assistant
  • Lakeside Marblehead, OH
National Provider Identifier
1780355693
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA011920 Issued in OH
Practice address
9400 N Shore Blvd
Lakeside Marblehead, OH 43440-1337
Phone
(419) 798-8251
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA011920 OH Primary

Addresses

Primary practice location

9400 N Shore Blvd
Lakeside Marblehead, OH 43440-1337

Mailing address

7521 State Route 101 E Unit a
Clyde, OH 43410-8543
Phone (419) 603-8974

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA011920OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1780355693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 STATE ROUTE 101 E UNIT A",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434108543",
            "telephone_number": "419-603-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 N SHORE BLVD",
            "city": "LAKESIDE MARBLEHEAD",
            "state": "OH",
            "postal_code": "434401337",
            "telephone_number": "419-798-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNING",
        "first_name": "MCKENZIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA011920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside Marblehead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.