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Makenzie Diana Sovercool

Physical Therapy Assistant in Belleview, FL. Individual provider (NPI-1).

NPI number1326919002
StatusActive
Last updated in NPPESSep 15, 2025

Details

NPI
1326919002
Entity type
Individual (NPI-1)
Name
Makenzie Diana Sovercool
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 15, 2025
Certification date
Sep 15, 2025
Last updated
Sep 15, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant33587FLYes

Practice location

13780 Se 100th Ave
Belleview, FL 34420-6955

Phone 352-789-0713

Mailing address

324 N York St
Bushnell, FL 33513-5304

Phone 352-801-4287

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Belleview, FL

All 5 Physical Therapy Assistant providers in Belleview · All 335 providers in Belleview

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