Macie Kathryn Zack, MS, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

61555390 Issued in WA

Practice address

1101 E Division St
Mount Vernon, WA 98274-4004

Phone

(360) 899-4905

NPI assigned

Jul 11, 2024

Sex

Female

Sole proprietor

Yes

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

Enrolled in WA, KY2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skagit Hand Therapy LLCGroup PAC ID 0547515652, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Skagit Hand Therapy LLC

  • Occupational Therapist
  • Mount Vernon, WA
  • NPI 1760987903
  Medicare reassignment Care Compare group NPD
• Commonwealth Hand Therapy

  • Occupational Therapist
  • Lexington, KY
  • NPI 1962855254
  Medicare reassignment

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1104663723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 GRAND AVE APT 642",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014898",
            "telephone_number": "616-430-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744004",
            "telephone_number": "360-899-4905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Lake Dr SE Ste 305",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468292",
            "country_code": "US",
            "telephone_number": "616-267-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACK",
        "first_name": "MACIE",
        "middle_name": "KATHRYN",
        "credential": "MS, OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013663",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61555390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Elizabeth Young
• Raylene Young, RN
• Jessica Ann Younger, DPT
• Aaron T Yu, MD
• Irfan Yusoff
• Elvia Zavala-Suarez, MSW
• Anya Gillian Zender
• Donald P Zietz, AAS-HIS
• Anastasia Zitkovich
• Zweber PLLC

• Occupational Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.