Ciara C McKenzie

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

123513 Issued in TX

Practice address

502 W Kearney St Ste 200
Mesquite, TX 75149-3477

Phone

(972) 784-5558

NPI assigned

Apr 14, 2023

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

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.

• Synaptic Pediatric Therapies, LLC.

  • Rehabilitation Clinic/Center
  • Richardson, TX
  • NPI 1497110670
  NPD
• Synaptic Pediatric Therapies, LLC.

  dba Synaptic Pediatric Neuropsychology

  • Clinical Neuropsychologist
  • Richardson, TX
  • NPI 1457275497
  NPD (past)

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1821784505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852647",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750852647",
            "telephone_number": "972-454-9309",
            "fax_number": "972-338-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W KEARNEY ST STE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493477",
            "telephone_number": "972-784-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "CIARA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Sean McDonald, D.M.D.
• Breunna McGee, PT, DPT
• Erica McKee
• Miriam Simone McKennie
• Johnathan McKennis, CFSA
• Joyce McKinley
• Byron M McKnight II, D.D.S.
• Kiery Ann McMullen, FNP
• Stefanie McNeal, PT, DPT
• Sonya McPherson

• Occupational Therapist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.