Individual provider Active NPI

Makenzie Goll, PT, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1396450144
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1372963 Issued in TX
Practice address
9301 N Central Expy Ste 451
Dallas, TX 75231-0832
Phone
(214) 397-1570
Fax
(214) 361-2675
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 1372963 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 451
Dallas, TX 75231-0832

Mailing address

9301 N Central Expy Ste 451
Dallas, TX 75231-0832
Phone (214) 397-1570

Other practice location 1

6011 Harry Hines Blvd
Dallas, TX 75235-5386
Phone (210) 648-6510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230704000361 TX Practitioner - Physical Therapist in Private Practice 1759740103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

9301 N Central Expy
Suite 451
Dallas, TX 75231-0832
Phone (214) 220-2468

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Mar 8, 2023 Accepting new patients
Ortholonestar, PLLC CurrentSince Sep 12, 2024 Accepting new patients
Ortholonestar, PLLC CurrentSince Sep 12, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Physical Therapist CurrentSince Mar 8, 2023 Accepting new patients

Locations

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

6011 Harry Hines Blvd
Ste V3
Dallas, TX 75235
Phone (214) 648-6562

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

6011 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 648-6510

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: makenzie.goll.1@15533.direct.athenahealth.com

Organizations & group practices 5

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1396450144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 451",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310832",
            "telephone_number": "214-397-1570",
            "fax_number": "214-361-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 451",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310832",
            "telephone_number": "214-397-1570",
            "fax_number": "214-361-2675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6011 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752355386",
            "country_code": "US",
            "telephone_number": "210-648-6510",
            "fax_number": "214-648-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLL",
        "first_name": "MAKENZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1372963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.