Mackenzie O'Neil

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

129090 Issued in IA

Practice address

3290 Ridgeway Dr Ste 3
Coralville, IA 52241-2023

Phone

(319) 665-2630

Fax

(319) 665-2631

NPI assigned

Feb 12, 2025

Sex

Female

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

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Therapies, PCGroup PAC ID 1254226095, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Performance Therapies, PC

  • Physical Medicine & Rehabilitation Physician
  • Coralville, IA
  • NPI 1831122837

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1649085812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 RIDGEWAY DR STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412023",
            "telephone_number": "319-665-2630",
            "fax_number": "319-665-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 RIDGEWAY DR STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412023",
            "telephone_number": "319-665-2630",
            "fax_number": "319-665-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "129090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soe Nyunt, MD
• Colin James O'Brien, M.D.
• Edward R O'Brien, D.O.
• Helga-Margot Aldape O'Brien, DNP, PMHNP-BC, ARNP
• Shannon O'Leary, PHARMD
• Oakdale Dental PC
• Obstetric and Gynecologic Associates of Iowa City PC
• Tara Ohrt, PHD, HSP
• Jill M. Okken, PHARMD
• Stacia Olson, DPT

• Physical Therapist in Coralville, IA
• Providers in Coralville, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.