William R Mackenzie, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006628 Issued in WA

Practice address

11802 NE 65TH St
100
Vancouver, WA 98662-5521

Phone

(360) 253-6883

Fax

(360) 892-7040

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NW Interventional Medicine and Orthopedic Rehab PLLCGroup PAC ID 3375837560, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• NW Interventional Medicine and Orthopedic Rehab PLLC

  • Medical Physician Assistant
  • Vancouver, WA
  • NPI 1982058814
  Medicare reassignment Care Compare group
• Gehm Chiropractic Services

  • Clinic/Center
  • Camas, WA
  • NPI 1811453327
  NPD (past)
• Vancouver Spine & Orthopedic Rehabilition Center, PLLC

  • Specialist
  • Vancouver, WA
  • NPI 1720247877
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1457356404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 NE 65TH ST",
            "address_2": "100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625521",
            "telephone_number": "360-253-6883",
            "fax_number": "360-892-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 NE 65TH ST",
            "address_2": "100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625521",
            "telephone_number": "360-253-6883",
            "fax_number": "360-892-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006628",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR &IND.",
            "identifier": "192088",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8412983",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydnee Machado
• E'Lon Mack
• Melissa Kathryn Mack, CNM
• Alice Mackay
• Kristin Mackenzie, DC
• Jon C Mackey, OTR/L
• Taija Mackey
• Karynn Andrea Mackinnon, LMP
• Jaymie Felice Mackler, N.D., L.AC.
• Randall M Maclean, LCSW,

• Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.