Christopher Mackay, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14611-24 Issued in WI

Practice address

6649 University Ave Ste 100
Middleton, WI 53562-3021

Phone

(608) 841-1290

Fax

(608) 841-1299

NPI assigned

Jun 14, 2019

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Biomechanical Sports Therapy, IncGroup PAC ID 8224011507, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Biomechanical Sports Therapy, Inc

  • Physical Therapist
  • Wenatchee, WA
  • NPI 1306058979
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1508426321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 UNIVERSITY AVE APT 304",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052130",
            "telephone_number": "208-995-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 UNIVERSITY AVE STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623021",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cross Plains",
            "state": "WI",
            "postal_code": "535289477",
            "country_code": "US",
            "telephone_number": "608-413-0550",
            "fax_number": "608-413-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14611-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Luebke, ATC
• Megan Marion Lyght, PA
• Landon P Lynch-Youngman, PTA
• Todd Andrew Lynch, O.D.
• Donal Grant Maccoon, PH.D.
• Madison Birth Center
• Madison Institute of Neurological Disorders, SC
• Madison Integrative Medicine Alliance, Inc
• Madison Psychiatric Associates, LTD.
• Madison Vein and Laser Institiute, S.C.

• Physical Therapist in Middleton, WI
• Providers in Middleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.