Mackenzie Wheeler

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA3957 Issued in ME

Practice address

29 Maurice Dr
Brunswick, ME 04011-3270

Phone

(207) 837-6628

NPI assigned

Apr 13, 2015

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

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1912393331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MAURICE DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113270",
            "telephone_number": "207-837-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAURICE DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113270",
            "telephone_number": "207-837-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA3957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Walter Wenner, PA-C
• Winsor Wesson, M.D.
• Peter Westervelt, MD
• Wayne D Westland, PA-C
• Jill M Weybrant, PT, MS
• Margaret Wheeler, DO
• Jane A. Whetstine, MS, NCC, LCPC-C
• White Rabbit Counseling LLC
• Christopher H White, BS
• Kaitlin Hanley White, PHD

• Physical Therapy Assistant in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.