Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sydney McKenzie

Individual provider Occupational Therapist · NPI 1063110872

Sydney McKenzie is an Occupational Therapist in Private Practice in Minnetonka, Minnesota. Qualified in 2022, 4 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

10653 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1543
Phone: (612) 364-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5992 (MN)

Record details

NPI number1063110872
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Odom Sports Medicine Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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