Active NPI
Mackenzie Thimesch, DPT
- Physical Therapist
- Derby, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 608 N Mulberry Rd
Derby, KS 67037-3532 - Phone
- (316) 202-0996
- NPI assigned
- May 29, 2024
- Last updated
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
608 N Mulberry Rd
Derby, KS 67037-3532
Mailing address
2615 S Brookmeadow Dr
Garden Plain, KS 67050-8909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
608 N Mulberry Rd
Advanced PT Derby
Derby, KS 67037-3532
Phone (316) 202-0996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| Advanced PT, LLC | Physical Therapist | Current | Accepting new patients |
Locations
608 N Mulberry Rd
Derby, KS 67037
Phone (316) 202-0996
3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 3
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": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1710727656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 S BROOKMEADOW DR",
"city": "GARDEN PLAIN",
"state": "KS",
"postal_code": "670508909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 N MULBERRY RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373532",
"telephone_number": "316-202-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIMESCH",
"first_name": "MACKENZIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.