Active NPI
Mackenzie Rose Carter, DPT
- Physical Therapist
- Grand Blanc, MI
National Provider Identifier
1124772249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501301739
- Practice address
- 859 Health Park Blvd
Grand Blanc, MI 48439-7383 - Phone
- (517) 336-6060
- Fax
- (517) 336-6050
- NPI assigned
- Feb 8, 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 | 5501301739 | MI | Primary |
Addresses
Primary practice location
859 Health Park Blvd
Grand Blanc, MI 48439-7383
Mailing address
3181 Sandhill Rd
Mason, MI 48854-9425
Phone (517) 336-6060
Other names 1
- Mackenzie Rose Eble
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 |
|---|---|---|---|
| 5501301739 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Hands on Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Advanced Physical Therapy Center, Inc | Physical Therapist | Past | Accepting new patients |
Locations
485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
75 W Square Lake Rd
Troy, MI 48098
Phone (248) 688-9004
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.
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1548932619
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
-
- Physical Therapist
- Grand Blanc, MI
- NPI 1154331262
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1295805984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1124772249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SANDHILL RD",
"city": "MASON",
"state": "MI",
"postal_code": "488549425",
"telephone_number": "517-336-6060",
"fax_number": "517-336-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 HEALTH PARK BLVD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397383",
"telephone_number": "517-336-6060",
"fax_number": "517-336-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MACKENZIE",
"middle_name": "ROSE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501301739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MACKENZIE",
"last_name": "EBLE",
"middle_name": "ROSE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.