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

Mackenzie Ryan Willis

Individual provider Pediatric Occupational Therapist · NPI 1821918699

Mackenzie Ryan Willis is a Pediatric Occupational Therapist in Old Bridge, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

87 Park Ave
Old Bridge, NJ 08857-1223
Phone: (732) 763-9467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 46TR01295200 (NJ)

Record details

NPI number1821918699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026