Organization Active NPI

McKenna Physical Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Berwyn, IL
National Provider Identifier
1861110777
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MCKENNA PHYSICAL THERAPY AND WELLNESS PLLC
Practice address
2501 East Ave
Berwyn, IL 60402-2641
Phone
(845) 598-4941
NPI assigned
Aug 16, 2022
Last updated
Jul 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Authorized official

Name
Sarah Keegan Jung McKenna, PT, DPTNPI 1063718021
Title
Owner
Phone
(845) 598-4941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2501 East Ave
Berwyn, IL 60402-2641

Mailing address

2501 East Ave
Berwyn, IL 60402-2641
Phone (845) 598-4941

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753488000000",
    "number": "1861110777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 EAST AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022641",
            "telephone_number": "845-598-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 EAST AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022641",
            "telephone_number": "845-598-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA PHYSICAL THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "KEEGAN JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-598-4941",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.