Active NPI
Mackenzie Harris, DPT
- Physical Therapist
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501301897
- Practice address
- 854 Washington Ave
Holland, MI 49423-7144 - Phone
- (616) 392-9430
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501301897 | MI | Primary |
Addresses
Primary practice location
854 Washington Ave
Holland, MI 49423-7144
Mailing address
365 84TH St SW
Byron Center, MI 49315-7935
Other practice location 1
1787 Grand Ridge Ct NE Ste 103
Grand Rapids, MI 49525-7042
Phone (616) 410-7370
Other practice location 2
365 84th St SW
Byron Center, MI 49315-7935
Phone (616) 277-1768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501301897 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Assoicates, Inc. | Current | Accepting new patients | |
| Physiotherapy Associates, Inc | Current | Accepting new patients | |
| Physiotherapy Associates, Inc. | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Current | Accepting new patients |
Locations
365 84th St SW
Byron Center, MI 49315
Phone (616) 277-1768
1787 Grand Ridge Ct NE
Ste 103
Grand Rapids, MI 49525
Phone (616) 363-7690
11561 Edgerton Ave NE
Rockford, MI 49341
Phone (616) 866-2727
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Waterford, MI
- NPI 1679645295
Physical Therapist
-
- Physical Therapy Clinic/Center
- Holland, MI
- NPI 1477224871
-
- Physical Therapy Clinic/Center
- Byron Center, MI
- NPI 1619628377
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1083368286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 84TH ST SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493157935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 WASHINGTON AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494237144",
"telephone_number": "616-392-9430"
}
],
"practiceLocations": [
{
"address_1": "1787 Grand Ridge Ct NE Ste 103",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495257042",
"country_code": "US",
"telephone_number": "616-410-7370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "365 84th St SW",
"address_purpose": "LOCATION",
"city": "Byron Center",
"state": "MI",
"postal_code": "493157935",
"country_code": "US",
"telephone_number": "616-277-1768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "MACKENZIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501301897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.