McKenzie Jones, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH9645 Issued in AL

Practice address

6475 Van Buren St Ste 102
Daphne, AL 36526-7571

Phone

(251) 626-9052

Fax

(251) 626-5384

NPI assigned

Nov 4, 2019

Last updated

Nov 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Shore Physical Therapy, IncGroup PAC ID 5597774604, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Shore Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Daphne, AL
  • NPI 1700831666
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1790329605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7520",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365777520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 VAN BUREN ST STE 102",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267571",
            "telephone_number": "251-626-9052",
            "fax_number": "251-626-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MCKENZIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bolar Johnson
• Larry Wayne Johnson
• Jared Jones
• Joseph Reece Jones, M.D.
• Latresha Jones
• Samantha Lacey Jones, DPT
• Cailyn J Jordan, LCSW
• Joyworks Counseling LLC
• Jubilee Counseling LLC
• Jubilee Family Dentistry, LLC

• Physical Therapist in Daphne, AL
• Providers in Daphne, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.