Latisha Mckenzie, DPT | |
4027 Ridge Ave, Philadelphia, PA 19129-1544 | |
(267) 297-6499 | |
(267) 297-6614 |
Full Name | Latisha Mckenzie |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4027 Ridge Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730324278 | NPI | - | NPPES |
1030093800001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Lhmg Physical Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396122842 PECOS PAC ID: 3870893738 Enrollment ID: O20151201000903 |
Mailing Address | Practice Location Address |
---|---|
Latisha Mckenzie, DPT 4027 Ridge Ave, Philadelphia, PA 19129-1544 Ph: (267) 297-6499 | Latisha Mckenzie, DPT 4027 Ridge Ave, Philadelphia, PA 19129-1544 Ph: (267) 297-6499 |
Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774 | |
Meredith Mayes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 420 Bainbridge St, Philadelphia, PA 19147 Phone: 215-629-3837 Fax: 215-629-5531 | |
Vincent Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370 | |
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684 | |
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265 | |
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961 | |
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832 |