Individual provider Active NPI

Mackenzie Cruz, PT, DPT

  • Physical Therapist
  • Saratoga Springs, UT
National Provider Identifier
1508623448
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13567244-2401 Issued in UT
Practice address
62 E Thrive Dr Ste 210
Saratoga Springs, UT 84045-5560
Phone
(801) 766-4244
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 13567244-2401 UT Primary

Addresses

Primary practice location

62 E Thrive Dr Ste 210
Saratoga Springs, UT 84045-5560

Mailing address

62 E Thrive Dr Ste 210
Saratoga Springs, UT 84045-5560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423001973 UT Practitioner - Physical Therapist in Private Practice 6305285305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dry Creek Physical Therapy and Wellness PLLCGroup PAC ID 0042228512, 31 clinicians

Practice addresses (Care Compare)

62 E Thrive Dr
Suite 210
Saratoga Springs, UT 84045-5560
Phone (801) 766-4244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Creek Physical Therapy & Wellness PLLC Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients
Jensen Therapy Associates, Inc. Physical Therapist PastSince Mar 11, 2024 Accepting new patients

Locations

3300 N Running Creek Way
Ste B150
Lehi, UT 84043
Phone (801) 766-4244

62 E Thrive Dr
Ste 210
Saratoga Springs, UT 84045
Phone 8017664244 ext. 501

Organizations & group practices 2

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1508623448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR STE 210",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR STE 210",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455560",
            "telephone_number": "801-766-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MACKENZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13567244-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.