Individual provider Active NPI

Mackenzie Grube, DPT

  • Physical Therapist
  • Avondale, AZ
National Provider Identifier
1548086341
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1729 N Dysart Rd
Avondale, AZ 85392-1224
Phone
(623) 295-3630
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 Primary

Addresses

Primary practice location

1729 N Dysart Rd
Avondale, AZ 85392-1224

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

32030 23rd Ave S
Federal Way, WA 98003-6031
Phone (253) 946-4852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241218002044 WA Practitioner - Physical Therapist in Private Practice 8628505468 Reassigns benefits to 1 organization
I20250807003200 AZ Practitioner - Physical Therapist in Private Practice 8628505468 Reassigns benefits to 1 organization
I20260215000034 MA Practitioner - Physical Therapist in Private Practice 8628505468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

1729 N Dysart Rd
Suite 103
Avondale, AZ 85392-1225
Phone (623) 295-3630

32030 23Rd Ave S
Federal Way, WA 98003-6031
Phone (253) 946-4852

84 Willimansett St
South Hadley, MA 01075-3097
Phone (413) 533-8501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

1729 N Dysart Rd
Avondale, AZ 85392
Phone (623) 295-3630

1729 N Dysart Rd
Ste 103
Avondale, AZ 85392
Phone (623) 295-3630

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

9250 W Thomas Rd
Ste 280
Phoenix, AZ 85037
Phone (602) 313-4227

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

84 Willimansett St
South Hadley, MA 01075
Phone (413) 533-8501

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 6

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1548086341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921224",
            "telephone_number": "623-295-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32030 23rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036031",
            "country_code": "US",
            "telephone_number": "253-946-4852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBE",
        "first_name": "MACKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.