Provider Type Icon

MCKENZIE SPORTS THERAPY LLC NPI 1376967083


NPI Information

NPI: 1376967083
Provider Name: MCKENZIE SPORTS THERAPY LLC
Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
3425 CONRAD ST
PHILADELPHIA, PA
ZIP 19129
Phone: (267) 332-8102
Get Directions

MCKENZIE SPORTS THERAPY LLC is a sports physical therapist in Philadelphia, PA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. MCKENZIE SPORTS THERAPY LLC NPI is 1376967083. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3425 CONRAD ST
PHILADELPHIA, PA
ZIP 19129
Phone: (267) 332-8102
Fax: (215) 849-3744

The provider's authorized official is Christopher Mckenzie .
The authorized official title is Owner, Physical Therapist and has the following contact phone number (267) 332-8102.

The enumeration date for this NPI number is 2/17/2014 and was last updated on 3/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251S0007XPhysical TherapistSportsPT018791PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1396749MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.