Individual provider Active NPI

Nya Steinbergen McKenzie, DPT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1871893602
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23451 Issued in MD
Practice address
407 Leighton Ave
Silver Spring, MD 20901-4823
Phone
(301) 652-2522
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23451 MD Primary

Addresses

Primary practice location

407 Leighton Ave
Silver Spring, MD 20901-4823

Mailing address

4861 Blagden Ave NW
Washington, DC 20011-3715
Phone (240) 997-0449

Other practice location 1

157 Remsen St.
Brooklyn, NY 11201-4334
Phone (718) 260-1000

Other practice location 2

6110 Executive Blvd Ste 460
Rockville, MD 20852-3947
Phone (240) 833-2921

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23451MDMDSocial Worker
034998NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Logic Medicine, P.C. CurrentSince Aug 10, 2015 Accepting new patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA Past Accepting new patients

Locations

409 Fulton St
#2
Brooklyn, NY 11201
Phone (718) 260-1000

157 Remsen St
Brooklyn, NY 11201
Phone (718) 260-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16096/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1871893602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 BLAGDEN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113715",
            "telephone_number": "240-997-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LEIGHTON AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014823",
            "telephone_number": "301-652-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Remsen St.",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014334",
            "country_code": "US",
            "telephone_number": "718-260-1000",
            "fax_number": "718-260-0072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6110 Executive Blvd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523947",
            "country_code": "US",
            "telephone_number": "240-833-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "NYA",
        "middle_name": "STEINBERGEN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.