McKenzie Gayfield, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT292173 Issued in CA

Practice address

4170 N Bodenheimer St
Boise, ID 83703-4202

Phone

(208) 283-5349

NPI assigned

Nov 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1480118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480118400000",
    "number": "1982147815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 N BODENHEIMER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034202",
            "telephone_number": "208-283-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 N BODENHEIMER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034202",
            "telephone_number": "208-283-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYFIELD",
        "first_name": "MCKENZIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-26",
        "last_updated": "2016-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292173",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britini Denise Gates
• Kimberly Caskin Gattiker, LPC
• Gwendolyn Gause, LCPC
• Allison Peasley Gauthier, MD
• Daniel Paul Gay, D.O.
• Robert W Geddes, PHARMD
• David L Gee, MD
• Barbara A Gehrke, CNP
• Kristen Geibel
• Mary Geist, MD

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.