Michael Macko, PT DPT OCS MTC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1110419 Issued in TX

Practice address

2111 Forest Park Blvd
Fort Worth, TX 76110-1726

Phone

(817) 307-9520

NPI assigned

Aug 10, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Forest Park Management

  • Orthopedic Physical Therapist
  • Fort Worth, TX
  • NPI 1073403093
  NPD Authorized official

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1386327740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 FOREST PARK BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101726",
            "telephone_number": "817-307-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 FOREST PARK BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101726",
            "telephone_number": "817-307-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT DPT OCS MTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1110419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florastine Mack, RN
• Samantha Enid Mackenzie
• Lindsey Mackey, CCC-SLP
• Zaquia Shenaethia Mackey, PA
• Hollin Taylor Macklin, RN, BSN
• Matthew Scott Mackrell
• Rowena J Maclin, D.O.
• Tony Allen Maclin, LPC
• Donald Macmullin, DC
• Hillary Erin Macneil, CPNP

• Orthopedic Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.