Individual provider Active NPI

Mackenzi Selhorst

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1386327823
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22484
Practice address
4540 Technology Dr
Wilmington, NC 28405-2182
Phone
(980) 358-2901
NPI assigned
Aug 10, 2023
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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 P22484 Primary

Addresses

Primary practice location

4540 Technology Dr
Wilmington, NC 28405-2182

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 558-0076

Other practice location 1

1018 Lake Park Blvd N Ste 103
Carolina Beach, NC 28428-4162
Phone (910) 636-3457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003001541 NC Practitioner - Physical Therapist in Private Practice 9830543339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

1018 Lake Park Blvd N
Suite 103
Carolina Beach, NC 28428-4162
Phone (910) 636-3457

104 Towerview CT
Cary, NC 27513-3595
Phone (984) 477-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Ivyrehab North Carolina LLC PastSince May 18, 2026 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1018 Lake Park Blvd N
Ste 103
Carolina Beach, NC 28428
Phone (910) 636-3457

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

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, 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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1386327823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-558-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 TECHNOLOGY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052182",
            "telephone_number": "980-358-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 Lake Park Blvd N Ste 103",
            "address_purpose": "LOCATION",
            "city": "Carolina Beach",
            "state": "NC",
            "postal_code": "284284162",
            "country_code": "US",
            "telephone_number": "910-636-3457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELHORST",
        "first_name": "MACKENZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "P22484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

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