Deanna Mackenzie

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502001435 Issued in MI

Practice address

2525 7TH Ave S
Escanaba, MI 49829-1131

Phone

(906) 786-0408

Fax

(906) 233-0095

NPI assigned

Sep 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1407330814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S 38TH ST UNIT 15",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294347",
            "telephone_number": "906-367-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 7TH AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291131",
            "telephone_number": "906-786-0408",
            "fax_number": "906-233-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291201",
            "country_code": "US",
            "telephone_number": "906-786-6907",
            "fax_number": "906-786-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "DEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Lynn Leveille, DPM
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• Tera Marie Little, DPT
• Kaitlyn Leanne Lord, OD
• Malarie S Luft
• Joshua James Madalinski
• Laura L Maki, PHARMD
• Stephen Michael Manier, MD
• Bonnie Marenger, LPN
• Kyle Marenger

• Physical Therapy Assistant in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.