Mackenzie Alysse Mayo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1315104 Issued in TX

Practice address

1200 E FM 2410 Rd Ste D
Harker Heights, TX 76548-6898

Phone

(254) 394-2710

Fax

(254) 442-0720

NPI assigned

Feb 11, 2019

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1548726987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E FM 2410 RD STE D",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486898",
            "telephone_number": "254-394-2710",
            "fax_number": "254-442-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E FM 2410 RD STE D",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486898",
            "telephone_number": "254-394-2710",
            "fax_number": "254-442-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "MACKENZIE",
        "middle_name": "ALYSSE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1315104",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1315104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ria Ann Matherne, PT, DPT
• Deanne Melor Matheson Fuller, LCSW, MSW
• Naomi Elizabeth Mathew, M.D.
• Krystal Mathis
• Susan Gail Matlock-Hetzel, PH.D.
• Taylor McAlpin
• Barbara McCart, RPH
• Randy F McCollough, MD
• Charlotte McCollum, LVN,LPN
• Tina McConnell

• Physical Therapist in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.