Mackenzie Baehr, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA34171 Issued in FL

Practice address

5025 Smithfield
Melbourne, FL 32934-2808

Phone

(321) 947-6417

NPI assigned

Jul 21, 2025

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Josie'S Pediatric Therapy Services P.a.

  • Physical Therapist
  • Melbourne, FL
  • NPI 1033623590
  NPD (past)

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1629960968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 DIABLO CIR SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329086443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SMITHFIELD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329342808",
            "telephone_number": "321-947-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEHR",
        "first_name": "MACKENZIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA34171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Lisa Bader
• Dwayne K Badgett, M.D.
• Craig J Badolato, MD
• David W Badolato, MD
• Stephen K Badolato, MD
• Priscilla Baer Schimkus, BCBA
• Sheila Moss Baer
• Breanne Baez-Colantonio, MS, BCBA
• Stacey Marie Baggett, PHARMD
• Jonathan Bahi

• All providers in Melbourne, FL
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.