Ryan John Mackenzie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

T61006 Issued in OR

Practice address

1750 Wilco Rd
Stayton, OR 97383-1085

Phone

(503) 769-7131

Fax

(503) 769-7132

NPI assigned

May 12, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benchmark Physical Therapy of Oregon LLCGroup PAC ID 0143510602, 124 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benchmark Physical Therapy of Oregon LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1801257191
  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388
  NPD
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Cave Junction, OR
  • NPI 1467996363
  NPD
• Physical Therapy Northwest Limited Partnership

  • Rehabilitation Clinic/Center
  • Stayton, OR
  • NPI 1255843355

  Physical Therapist

  NPD (past)
• PT Northwest LLC

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1417934886
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1104204908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014741",
            "telephone_number": "503-540-8701",
            "fax_number": "503-371-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 WILCO RD",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831085",
            "telephone_number": "503-769-7131",
            "fax_number": "503-769-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "T61006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadine Lynn Lindemann, EFDA
• Denese Lynn Lingle, LMT
• Ernest Eugene Lissy, FNP
• Rachel Loynes, THW, PSS, CRM
• Casey Lulay, FNP-C
• Sabrina Mann, CADC-R
• Amara McGee
• Marissa Lynn McGhee, FNP-C
• Robert G McGreevy, MD
• Korinne Lynn McVeety, RD, LD

• Physical Therapist in Stayton, OR
• Providers in Stayton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.

Verify at the official NPI Registry.