Mackenzie Ukkestad, DPT, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3400 Laramie Dr
Bozeman, MT 59718-2005

Phone

(406) 586-5694

NPI assigned

Sep 22, 2014

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

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.93 of 100Reported as group

Quality

60.05

Promoting interoperability

100

Improvement activities

40

Cost

76.39

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mackenzie.newman.1@12906.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

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.

• Bridger Orthopedics and Sports Medicine, PC

  dba Bridger Orthopedic and Sports Medicine

  • Orthopaedic Surgery Physician
  • Bozeman, MT
  • NPI 1750310926
  Medicare reassignment Care Compare group NPD
• Bridger Orthopedic Walk in Clinic PC

  dba Bridger Orthopedic Acute Care

  • Orthopaedic Surgery Physician
  • Bozeman, MT
  • NPI 1407228265

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1609278639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TIMBERVIEW CIR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597188295",
            "telephone_number": "218-590-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LARAMIE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182005",
            "telephone_number": "406-586-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKKESTAD",
        "first_name": "MACKENZIE",
        "credential": "DPT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Turner, LCSW
• Susanna Turner, APRN
• Heidi L Tuthill, MD
• Ian William Udell, MD
• Isabel Lue Uhrich, MS, LCPC
• Cyrene Underhill
• Kendra Underwood, PT
• Karina Ustinova, LCPC
• Adrian B Utsch, PSYD
• Tia Utzinger, LCSW

• Physical Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.