Individual provider Active NPI

Mackenzie Doyle, DPT

  • Physical Therapist
  • Lehi, UT
National Provider Identifier
1376383737
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13967816-2401 Issued in UT
Practice address
310 B 850 E
Suite D
Lehi, UT 84043
Phone
(801) 702-8475
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 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 13967816-2401 UT Primary

Addresses

Primary practice location

310 B 850 E
Suite D
Lehi, UT 84043

Mailing address

12243 S Draper Gate Dr Apt 212
Draper, UT 84020-1904
Phone (307) 247-4870

Other names 1

  • Dr. Mackenzie Chadderdon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114003393 UT Practitioner - Physical Therapist in Private Practice 7315475688 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
Reborn Pelvic Health and WellnessGroup PAC ID 0941738272, 17 clinicians

Practice addresses (Care Compare)

310 N 850
Suite D
Lehi, UT 84043-8623
Phone (801) 702-8476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13967816-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reborn Pelvic Health & Wellness Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

1660 W Antelope Dr
Ste 225A
Layton, UT 84041
Phone (801) 702-8475

1660 W Antelope Dr
Ste 320
Layton, UT 84041
Phone (801) 820-5414

310 N 850 E
Ste D
Lehi, UT 84043
Phone (801) 216-3117

1815 N 1120 W
Provo, UT 84604
Phone (801) 702-8475

6040 S Fashion Blvd
Ste 101
Salt Lake City, UT 84107
Phone (801) 264-9595

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1376383737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12243 S DRAPER GATE DR APT 212",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201904",
            "telephone_number": "307-247-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 B 850 E",
            "address_2": "SUITE D",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "801-702-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13967816-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "CHADDERDON",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.