Michael McKenny

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J10003530 Issued in DE

Practice address

1300 Oxford Dr
Bethel Park, PA 15102-1896

Phone

(412) 851-8850

NPI assigned

Nov 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• LHCG Ccxxxi, LLC

  • Home Health Agency
  • Bear, DE
  • NPI 1962117903
  NPD

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1790158970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OXFORD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OXFORD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021896",
            "telephone_number": "412-851-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNY",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024505",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10003530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M. J. McCloskey, MOT,OTR/L
• Charles Michael McCool, MD
• Jenna M McCracken, PA-C
• Michael P McGonigal, M.D.
• Faith Ann McGrady, PA-C
• Jessica Lynn McQuiston, RPH
• Grace Allison McSwaney
• Heather Lynn McVay, DDS
• Pamela Jean McVerry, RR LDN
• Sydney C McWilliams, PA-C

• All providers in Bethel Park, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.