Mackenzie Bynum, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2121980 Issued in TX

Practice address

1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211

Phone

(940) 322-0771

NPI assigned

Feb 28, 2024

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1922865724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MIDWESTERN PKWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022211",
            "telephone_number": "940-322-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MIDWESTERN PKWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022211",
            "telephone_number": "940-322-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "MACKENZIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2121980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven K Burross, DDS
• Adam Stephen Butera, M.D.
• John Butler, LMSW, ACP, PH.D.
• Marisa McNamara Byers, MS, LPC, NCC
• Mary Susan Byers, LPC
• Morgan Byrd
• Sherry Marie Byrd
• Jennifer Cabler, MD
• Shelby Cage, PTA
• Eva Call, FNP - C

• Physical Therapy Assistant in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.