Mackenzie Anderson, PT
Physical Therapist in Racine, WI. Individual provider (NPI-1).
NPI number1740914811
StatusActive
Last updated in NPPESJul 13, 2022
Details
- NPI
- 1740914811
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Anderson
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2022
- Certification date
- Jul 13, 2022
- Last updated
- Jul 13, 2022
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10623-24 | WI | Yes |
Practice location
2408 4 Mile RdRacine, WI 53402-2091
Phone 262-687-5995
Mailing address
2408 4 Mile RdRacine, WI 53402-2091
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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All 44 Physical Therapist providers in Racine · All 1,428 providers in Racine
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