Mackenzie Grae Thacker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12231 Issued in SC

Practice address

38 Business Center Drive
Pawleys Island, SC 29585

Phone

(843) 235-0200

NPI assigned

Feb 20, 2024

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

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Professional Rehabilitation Services, Inc

  • Physical Therapy Clinic/Center
  • Pawleys Island, SC
  • NPI 1689622441

  Physical Therapist

  Medicare reassignment NPD
• PRS 10, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
  • NPI 1487417333

  Physical Therapist

  Medicare reassignment NPD
• PRS 3, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
  • NPI 1275814246

  Physical Therapist

  Medicare reassignment NPD
• PRS 4, LLC

  • Physical Therapy Clinic/Center
  • Murrells Inlet, SC
  • NPI 1952649956

  Physical Therapist

  Medicare reassignment NPD
• PRS 5, LLC

  • Physical Therapy Clinic/Center
  • Conway, SC
  • NPI 1184027617

  Physical Therapist

  Medicare reassignment NPD
• PRS 6, LLC

  • Physical Therapy Clinic/Center
  • Little River, SC
  • NPI 1508231531

  Physical Therapist

  Medicare reassignment NPD
• PRS 7, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
  • NPI 1053802330

  Physical Therapist

  Medicare reassignment NPD
• PRS 8, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
  • NPI 1275025918

  Physical Therapist

  Medicare reassignment NPD
• PRS 9, LLC

  • Physical Therapy Clinic/Center
  • Longs, SC
  • NPI 1891329272

  Physical Therapist

  Medicare reassignment NPD
• PRS II, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
  • NPI 1083943815

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1235994161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2397",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295852397",
            "telephone_number": "843-235-0200",
            "fax_number": "843-235-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BUSINESS CENTER DRIVE",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "843-235-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "MACKENZIE",
        "middle_name": "GRAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Sutcliffe
• Christina Hope Sutherland-King, LPC, LPCS
• Douglas Charles Swartz, M.D.
• Michelle Lynn Szabo, PT, DPT
• Jonathan Michael Tester, DC
• Sara Bratcher Thacker, APRN
• Thekey of South Carolina Beach, LLC
• April Noel Thomas, L.M.T.
• Scott E Thomas, MD, MBA
• Alan W Thompson, D.C.

• Physical Therapist in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.