Individual provider Active NPI

McKenzie Rose Look, ATC

  • Athletic Trainer
  • Fort Bragg, NC
National Provider Identifier
1902303456
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
167349 Issued in AK
Practice address
28307 Gruber Rd
Fort Bragg, NC 28310-6775
Phone
(408) 201-4225
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 167349 AK Primary

Addresses

Primary practice location

28307 Gruber Rd
Fort Bragg, NC 28310-6775

Mailing address

381 Countryside Dr
Lillington, NC 27546-5222
Phone (408) 201-4225

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
167349AKMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1902303456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 COUNTRYSIDE DR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465222",
            "telephone_number": "408-201-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28307 GRUBER RD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283106775",
            "telephone_number": "408-201-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOK",
        "first_name": "MCKENZIE",
        "middle_name": "ROSE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AK",
            "license": "167349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

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