Mackenzie D Jackson-Ruth, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT43435 Issued in FL

Practice address

484 Riverside Ave
Jacksonville, FL 32202-4912

Phone

(904) 579-2824

NPI assigned

Aug 14, 2025

Sex

Female

Sole proprietor

Yes

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• H2 Rehabilitation Services of Florida LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1275285926

  Physical Therapist

  Medicare reassignment NPD
• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD
• H2 Rehabilitation Services of Florida LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Tallahassee, FL
  • NPI 1619704913
  NPD
• Burke Collins Therapy, Inc

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1184386435
  NPD (past)

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1700762739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184",
            "telephone_number": "856-678-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024912",
            "telephone_number": "904-579-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-RUTH",
        "first_name": "MACKENZIE",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dawn Jacks
• Jackson Healthcare Services, LLC
• Jackson Healthcare Services, LLC
• Willie Jackson II
• Samantha Jackson-Oates
• Adrianne Jackson
• Alexandra Jackson
• Alexis R Jackson
• Ameera Jackson
• Antoinique Jackson

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.