Devon W Mckenna, PTA
Physical Therapy Assistant in West Orange, New Jersey
1386369189- Practice location
- 622 Eagle Rock Ave, West Orange, NJ 07052-2994
- Phone
- 973-669-0078
- Fax
- 973-669-1113
- Last updated
- October 5, 2022
Devon William Mckenna is a Physical Therapy Assistant based in West Orange, NJ. Devon William Mckenna practices in West Orange, NJ and has the professional credentials of PTA. The NPI Number for Devon William Mckenna is 1386369189 and holds a License No. 40QB00397200 (NJ). The current practice location address for Devon William Mckenna is 622 Eagle Rock Ave, West Orange, NJ 07052-2994 and can be reached out via phone at 973-669-0078 and via fax at 973-669-1113.
Provider Profile Details
- NPI Number
- 1386369189
- Provider Name
- Devon William Mckenna
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 622 Eagle Rock Ave, West Orange, NJ 07052-2994
- Phone Number
- 973-669-0078
- Fax Number
- 973-669-1113
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 5, 2022
- Last Update Date
- October 5, 2022
- Certification Date
- October 5, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 622 Eagle Rock Ave
West Orange, NJ 07052-2994 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2994
- Phone Number
- 973-669-0078
- Fax Number
- 973-669-1113
Provider Business Mailing Address Details
- Address
- 981 US Highway 22 Fl 2
Bridgewater, NJ 08807-2946 - City
- Bridgewater
- State
- NJ
- Zip
- 08807-2946
- Phone Number
- 201-801-7141
License Information
- License Number
- 40QB00397200
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapy Assistants near West Orange, NJ
View all Physical Therapy Assistants in West Orange →- Ana C GarciaPhysical Therapy Assistant · NPI 1700424272
- Barry F Wachtler, PTAPhysical Therapy Assistant · NPI 1114026176
- Duane Vannoy, PTAPhysical Therapy Assistant · NPI 1528750262
- Lars EspelandPhysical Therapy Assistant · NPI 1124505151
- Martha EdwardsPhysical Therapy Assistant · NPI 1023316213
- Mr. Kenneth C Grosso, PTAPhysical Therapy Assistant · NPI 1043447717
Frequently Asked Questions
What is the NPI number of Devon W Mckenna, PTA?
The NPI number of Devon W Mckenna, PTA is 1386369189. It was assigned on October 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Devon W Mckenna, PTA?
Devon W Mckenna, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00397200.
Where does Devon W Mckenna, PTA practice?
The practice location is 622 Eagle Rock Ave, West Orange, NJ 07052-2994. The office can be reached at 973-669-0078 (phone) or 973-669-1113 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386369189 directly on the NPPES registry website.