Individual provider Active NPI

McKenzie Walker

  • Physical Therapist
  • Plainfield, IN
National Provider Identifier
1275347106
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015817A Issued in IN
Practice address
2656 E Main St Ste 165
Plainfield, IN 46168-2737
Phone
(317) 268-0965
NPI assigned
Feb 3, 2025
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05015817A IN Primary

Addresses

Primary practice location

2656 E Main St Ste 165
Plainfield, IN 46168-2737

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250208000151 IN Practitioner - Physical Therapist in Private Practice 6406386283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

2656 E Main St
Suite 165
Plainfield, IN 46168-2737
Phone (219) 213-7030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

10651 E US Highway 36
Avon, IN 46123
Phone (317) 677-0174

890 N Green St
#A
Brownsburg, IN 46112
Phone (317) 520-5479

10485 N Michigan Rd
Ste 110
Carmel, IN 46032
Phone (317) 819-6080

5620 Michigan Rd
#A
Indianapolis, IN 46228
Phone (317) 454-8593

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

6810 Shore Ter
Indianapolis, IN 46254
Phone (317) 290-1177

9302 N Meridian St
Ste 190
Indianapolis, IN 46260
Phone (317) 843-1270

2656 E Main St
Ste 165
Plainfield, IN 46168
Phone (219) 213-7030

6345 Crawfordsville Rd
Ste B
Speedway, IN 46224
Phone (317) 808-9809

6058 Whitestown Pkwy
Whitestown, IN 46075
Phone (317) 769-1082

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1275347106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 E MAIN ST STE 165",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682737",
            "telephone_number": "317-268-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015817A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.