Mackenzie Bures, PT,DPT
Physical Therapist in Orange, CT. Individual provider (NPI-1).
NPI number1487437638
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1487437638
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Bures
- Credential
- PT,DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2023
- Certification date
- Aug 14, 2023
- Last updated
- Aug 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 14108 | CT | Yes |
Practice location
400 Boston Post RdOrange, CT 06477-3545
Phone 203-799-3343 · Fax 203-517-0604
Mailing address
400 Boston Post RdOrange, CT 06477-3545
Phone 203-799-3343 · Fax 203-517-0604
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.
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