Individual provider Active NPI

Morgan Mackenzie, DPT

  • Physical Therapist
  • Driggs, ID
National Provider Identifier
1437761889
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7026 Issued in ID
Practice address
18 N Main St Ste 220
Driggs, ID 83422-5141
Phone
(208) 254-1777
NPI assigned
Aug 18, 2020
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 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 7026 ID Primary

Addresses

Primary practice location

18 N Main St Ste 220
Driggs, ID 83422-5141

Mailing address

5053 Country Club Dr Ste 220
Victor, ID 83455-5164
Phone (208) 254-1777

Other names 1

  • Morgan Moore Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014003792 ID Practitioner - Physical Therapist in Private Practice 1052731965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7026IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy, LLC Physical Therapist CurrentSince Jun 9, 2024 Accepting new patients
W.E.S.T. Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Streubel Therapy Services CurrentSince May 3, 2021 Accepting new patients

Locations

285 E Little Ave
Driggs, ID 83422
Phone (208) 354-1999

39 W Little Ave
Ste 2
Driggs, ID 83422
Phone (307) 734-9129

Organizations & group practices 3

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1437761889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 COUNTRY CLUB DR STE 220",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "834555164",
            "telephone_number": "208-254-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N MAIN ST STE 220",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225141",
            "telephone_number": "208-254-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "MORGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Driggs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.