Individual provider Active NPI

Makenna Nicole Enslin-Mell, DPT

  • Physical Therapist
  • Eynon, PA
National Provider Identifier
1710669304
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT031476 Issued in PA
Practice address
200 Scranton Carbondale Hwy
Eynon, PA 18403-1029
Phone
(570) 291-8563
NPI assigned
Aug 2, 2023
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT031476 PA Primary

Addresses

Primary practice location

200 Scranton Carbondale Hwy
Eynon, PA 18403-1029

Mailing address

200 Scranton Carbondale Hwy
Eynon, PA 18403-1029
Phone (570) 291-8563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928001038 PA Practitioner - Physical Therapist in Private Practice 7416301148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Solutions LLCGroup PAC ID 7618410838, 4 clinicians
Impact PhysioGroup PAC ID 1557501228, 5 clinicians

Practice addresses (Care Compare)

200 Scranton Carbondale Hwy
Eynon, PA 18403-1029
Phone (570) 291-8563

239 Northern Blvd
South Abington Township, PA 18411-9302
Phone (570) 319-6903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physio Physical Therapist CurrentSince Aug 3, 2023 Accepting new patients
Movement Solutions LLC Physical Therapist CurrentSince Jun 22, 2026 Accepting new patients

Locations

200 Scranton Carbondale Hwy
Eynon, PA 18403
Phone (570) 291-8563

239 Northern Blvd
Ste 5
South Abington Township, PA 18411
Phone (570) 319-6903

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1710669304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCRANTON CARBONDALE HWY",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031029",
            "telephone_number": "570-291-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SCRANTON CARBONDALE HWY",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031029",
            "telephone_number": "570-291-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSLIN-MELL",
        "first_name": "MAKENNA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eynon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.