Mackenzie Elizabeth Giorgi, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2021020528 Issued in MO

Practice address

4 Arnold Mall
Arnold, MO 63010-2223

Phone

(636) 282-0125

Fax

(636) 282-0057

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1053980680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 DEEPWOOD CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283810",
            "telephone_number": "314-604-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ARNOLD MALL",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102223",
            "telephone_number": "636-282-0125",
            "fax_number": "636-282-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Dillon Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "High Ridge",
            "state": "MO",
            "postal_code": "630492478",
            "country_code": "US",
            "telephone_number": "636-677-3100",
            "fax_number": "636-677-8587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIORGI",
        "first_name": "MACKENZIE",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7406",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021020528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Gatzke, M.A., CCC-SLP
• Keith Alan Georger, M.D.
• Madeline Marie Gerard, M.S. CF-SLP
• Payton Elizabeth Gillam, MOTR/L
• Joy Michelle Gilman
• Michael Glines, M.D.
• Mia Glover, FNP-C
• Mallory Gocken
• Donald Patrick Goeller, M.D.
• Michelle Goewert, MED, PLBA

• All providers in Arnold, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.