SYDNEY MCKENZIE – Occupational Therapist, NPI 1063110872

SYDNEY MCKENZIE is a healthcare provider. based in Minnetonka, Minnesota. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5992 (MN). The NPI Number for SYDNEY MCKENZIE is 1063110872

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SYDNEY MCKENZIE
NPI
1063110872
Phone
Not provided
Address
10653 WAYZATA BLVD STE 200
Enumeration Date
21 February 2023
Last Update Date
21 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9522241919
Graduation Year
2022 (4 years ago)
PAC ID
0547633927
Group Practice PAC ID
0143485607
Professional Enrollment ID
I20230306001824
Address ID
MN553443356ED6545XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

603 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for SYDNEY MCKENZIE

  • 10653 WAYZATA BLVD STE 200

    MINNETONKA, MN 553051543

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230306001824IOccupational Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97535Training for self-care or home management, each 15 minutes12717$0
97530Therapy procedure using functional activities8615$0
View full utilization report →

Insurance plans in this area (ZIP 55305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143485607View full group profile
NameSpecialtyState
Qualified Speech Language PathologistMN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN
-MN
Family Practice, Sports MedicineMN
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeMN

Reviews

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Frequently asked questions

How do payers reference SYDNEY MCKENZIE?
For SYDNEY MCKENZIE, use NPI 1063110872 as the unique 10-digit identifier.
Would SYDNEY MCKENZIE appear as active to a payer?
You can treat SYDNEY MCKENZIE as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SYDNEY MCKENZIE?
SYDNEY MCKENZIE's specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with SYDNEY MCKENZIE?
Directory geography for SYDNEY MCKENZIE centers on Minnetonka, Minnesota.
Can I trust this NPI listing for SYDNEY MCKENZIE?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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