Active NPI
Mackenzie Ashburn
- Physical Therapist
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501304269
- Practice address
- 5301 McAuley Dr
Ypsilanti, MI 48197-1051 - Phone
- (734) 712-3456
- NPI assigned
- Jan 22, 2026
- 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 | 5501304269 | MI | Primary |
Addresses
Primary practice location
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Mailing address
2233 Wiltshire Rd
Berkley, MI 48072-3318
Other practice location 1
2000 E Oakley Park Rd Ste 101
Commerce Township, MI 48390-1569
Phone (248) 287-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Boston, MA 02241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501304269 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Physical Therapist | Current | Accepting new patients |
Locations
30100 Telegraph Rd
Ste 140
Bingham Farms, MI 48025
Phone (248) 385-0030
44560 Ford Rd
Canton, MI 48187
Phone (734) 680-8780
7822 Andersonville Rd
Clarkston, MI 48346
Phone (248) 684-9610
2000 E Oakley Park Rd
Ste 101
Commerce Township, MI 48390
Phone (248) 387-5200
33111 Plymouth Rd
Livonia, MI 48150
Phone (248) 304-7027
Organizations & group practices 1
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1083563100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 WILTSHIRE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480723318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 MCAULEY DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971051",
"telephone_number": "734-712-3456"
}
],
"practiceLocations": [
{
"address_1": "2000 E Oakley Park Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Commerce Township",
"state": "MI",
"postal_code": "483901569",
"country_code": "US",
"telephone_number": "248-287-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASHBURN",
"first_name": "MACKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-22",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.