MCKENNA FARMS THERAPY SERVICES INC (NPI# 1417904947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417904947 |
| Entity Type | Organization |
| Organization Name | MCKENNA FARMS THERAPY SERVICES INC |
| Practice Address |
3044 Due West Rd Dallas GA 30157-2125 |
| Practice Telephone | 7704439672 |
| Practice Fax Number | 7705053595 |
| Mailing Telephone | 7704439672 |
| Mailing Fax Number | 7705053595 |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHERYL ZIEGLER (BILLING SPECIALIST) |
| Authorized Official Telephone | 7704328996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3044 DUE WEST RD |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436153 | Jessica Duffey | Speech-Language Pathologist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2020-08-05 |
| 1225647316 | Kara Demkowski | Speech-Language Pathologist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2020-07-24 |
| 1740809490 | Kerri O'connor | Occupational Therapist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2020-04-13 |
| 1174157135 | Sarah Bolt | Occupational Therapist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2020-02-28 |
| 1851937585 | Lauren Kelshaw | Occupational Therapist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2019-11-18 |
| 1992347363 | Alexa Feduchak | Occupational Therapist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2019-10-17 |
| 1255982351 | Chandler King | Physical Therapist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2019-09-20 |
| 1063068146 | Megan Spitler | Physical Therapist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2019-08-14 |
| 1255984431 | Danielle Bryan | Occupational Therapist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2019-07-17 |
| 1083273619 | Clifton Young | Speech-Language Pathologist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172827 | Tina Mone Patterson | Specialist | 8501 Old Hickory Trl Apt 2106, Dallas, TX 75237-3821 | 2019-12-31 |
| 1225670862 | Camerin J Cole | Specialist | 4701 Haverwood Ln Apt 112, Dallas, TX 75287-4206 | 2019-10-15 |
| 1356833198 | Diana Denise Demasi | Specialist | 4411 Lemmon Ave Ste 102, Dallas, TX 75219-2390 | 2018-06-06 |
| 1942718242 | Kristy Prieto | Specialist | 18809 Lina St Apt 10209, Dallas, TX 75287-2519 | 2018-01-21 |
| 1306354600 | Johnneshia Donald | Specialist | 3702 Frankford Rd Apt 12303, Dallas, TX 75287-7808 | 2018-01-21 |
| 1841740404 | Surgical Associates of Dallas | Specialist | 621 N Hall St Ste 520, Dallas, TX 75226-1315 | 2016-10-07 |
| 1194198101 | Surepoint Emergency Physicians Denton, Pllc | Specialist | 5005 Lbj Fwy, Suite 1200, Dallas, TX 75244 | 2015-11-12 |
| 1316329071 | Southern Spine Institute Pllc | Specialist | 11970 N Central Expy Ste 450, Dallas, TX 75243-3787 | 2015-06-18 |
| 1760886345 | Wls Surgical Associates of North Texas Pllc | Specialist | 7777 Forest Ln Ste C400, Dallas, TX 75230-7516 | 2014-10-10 |
| 1952731804 | Aw Sleep Diagnostic Center Inc | Specialist | 13154 Coit Road, Suite 105, Dallas, TX 75240-5787 | 2013-11-13 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.