Mackenzie Coghlan Gooch

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH9741 Issued in AL

Practice address

8230 Spanish Fort Blvd Ste B
Spanish Fort, AL 36527-5246

Phone

(251) 385-7979

Fax

(251) 545-3809

NPI assigned

Jun 5, 2020

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mackenzie Coghlan Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Alabama School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy South - FairhopeGroup PAC ID 6103284542, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.26 of 100Reported as group

Quality

86.52

Improvement activities

40

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.

• Therapy South - Fairhope

  dba Therapy South Fairhope LLC

  • Physical Therapist
  • Fairhope, AL
  • NPI 1659069425
  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1659642916

  AL

  Medicare reassignment NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  AL

  Medicare reassignment
• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Spanish Fort, AL
  • NPI 1467036400
  NPD

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1104440007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 SPANISH FORT BLVD STE B",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275246",
            "telephone_number": "251-385-7979",
            "fax_number": "251-545-3809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 US Highway 90 Ste A-04",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365269530",
            "country_code": "US",
            "telephone_number": "251-210-2901",
            "fax_number": "251-210-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "MACKENZIE",
        "middle_name": "COGHLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "COGHLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Gregory M. Sweeney, Jr. D.M.D., P.C.
• Jennifer Kathleen Griffin, M.D.
• Gulf Coast Molecular Laboratories, LLC
• Gulf Coast Neurowellness LLC

• Physical Therapist in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.