MEDICARE: DAVID W. MCKENNA OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	OC005736L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710913744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID W. MCKENNA OT

Provider Business Mailing Address
First Line	:	451 VALLEY BROOK RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3375
Country	:	US
Telephone Number	:	412-216-0850
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 S CENTRAL AVE STE 6
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-1489
Country	:	US
Telephone Number	:	412-216-0850
Fax Number	:	724-655-6002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	04/07/2026

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Directions to “ DAVID W. MCKENNA OT” Practice Location

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