Mackenzie R Willis
Occupational Therapist, Pediatrics in Old Bridge, New Jersey
1821918699- Practice location
- 87 Park Ave, Old Bridge, NJ 08857-1223
- Phone
- 732-763-9467
- Fax
- —
- Last updated
- July 20, 2026
Mackenzie Ryan Willis is an Occupational Therapist, Pediatrics based in Old Bridge, NJ. Mackenzie Ryan Willis practices in Old Bridge, NJ. The NPI Number for Mackenzie Ryan Willis is 1821918699 and holds a License No. 46TR01295200 (NJ). The current practice location address for Mackenzie Ryan Willis is 87 Park Ave, Old Bridge, NJ 08857-1223 and can be reached out via phone at 732-763-9467.
Provider Profile Details
- NPI Number
- 1821918699
- Provider Name
- Mackenzie Ryan Willis
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 87 Park Ave, Old Bridge, NJ 08857-1223
- Phone Number
- 732-763-9467
- Primary Taxonomy
- Occupational Therapist, Pediatrics · 225XP0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 20, 2026
- Last Update Date
- July 20, 2026
- Certification Date
- July 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 87 Park Ave
Old Bridge, NJ 08857-1223 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-1223
- Phone Number
- 732-763-9467
Provider Business Mailing Address Details
- Address
- 87 Park Ave
Old Bridge, NJ 08857-1223 - City
- Old Bridge
- State
- NJ
- Zip
- 08857-1223
- Phone Number
- 732-763-9467
License Information
- License Number
- 46TR01295200
- License State
- NJ
- Taxonomy
- Occupational Therapist, Pediatrics · 225XP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mackenzie R Willis?
The NPI number of Mackenzie R Willis is 1821918699. It was assigned on July 20, 2026 and is currently active in the NPPES registry.
What is the specialty of Mackenzie R Willis?
Mackenzie R Willis is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NJ under license number 46TR01295200.
Where does Mackenzie R Willis practice?
The practice location is 87 Park Ave, Old Bridge, NJ 08857-1223. The office can be reached at 732-763-9467 (phone).
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 1821918699 directly on the NPPES registry website.