MACKENZIE BOOTH (NPI# 1427572627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427572627 |
| Entity Type | Individual |
| Full Name | MACKENZIE BOOTH |
| Credential | ATC |
| Practice Address |
1120 Sfh Brigham Young University Provo UT 84602 |
| Mailing Address |
859 Holroyd Dr Ogden UT 84403-4512 |
| Practice Telephone | 8018666082 |
| Mailing Telephone | 8018666082 |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2017-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
10312376-4810 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1120 SFH BRIGHAM YOUNG UNIVERSITY |
| City | PROVO |
| State | UT |
| Zip Code | 84602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| 1497154488 | Lindsay Voelkl | Specialist/Technologist | 150 East Bulldog Blvd, Provo, UT 84602 | 2014-08-15 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396393393 | Camille Elizabeth Crockett | Physical Medicine & Rehabilitation | 1130 Smith Fieldhouse, Provo, UT 84602-2246 | 2019-09-03 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1689184053 | Miranda Greer | Physical Medicine & Rehabilitation | 1141 Sfh, Provo, UT 84602-2246 | 2017-10-11 |
| 1144664681 | Claire A Gross | Physical Medicine & Rehabilitation | 1157 N 300 W Ste 201, Provo, UT 84604-6124 | 2013-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493838 | Nikole Decker Squires | Physical Medicine & Rehabilitation | 6748 W 9500 N, Highland, UT 84003-3455 | 2019-02-19 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1033240965 | Ihc Health Services, Inc | Physical Medicine & Rehabilitation | 4401 Harrison Blvd Ste 2440, Ogden, UT 84403-3195 | 2007-03-09 |
| 1295881811 | Michelle Pepper | Physical Medicine & Rehabilitation | 24 S 1100 E Ste 101, Salt Lake City, UT 84102-1562 | 2007-01-26 |
| 1790306884 | Kevin Willis Hall | Physical Medicine & Rehabilitation | 1400 N 500 E, Logan, UT 84341-2455 | 2020-04-30 |
| 1053887067 | Chase K Hansen | Physical Medicine & Rehabilitation | 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106-2531 | 2018-10-17 |
| 1770905705 | Emere Utah, LLC | Physical Medicine & Rehabilitation | 5296 S Commerce Dr, Suite 104, Murray, UT 84107-4767 | 2014-01-10 |
| 1518397215 | Brent J Bowen M.d. P.C. | Physical Medicine & Rehabilitation | 5770 S 250 E Ste 235, Murray, UT 84107-6191 | 2013-11-15 |
| 1487827093 | Lynne Michelle Margolis | Physical Medicine & Rehabilitation | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2008-04-04 |
| 1114057924 | Ihc Health Services Inc | Physical Medicine & Rehabilitation | 280 N Main St, Bountiful, UT 84010-6136 | 2007-03-07 |
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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.