McKenzi Petricko

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4514 Issued in NE

Practice address

3510 Avenue B Ste a
Scottsbluff, NE 69361-4333

Phone

(308) 633-7878

Fax

(308) 633-7018

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

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 CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Nebraska College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential RLLPGroup PAC ID 7719976703, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.48 of 100Reported as group

Quality

86.62

Improvement activities

40

Cost

56.09

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.

• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1699939850
  Medicare reassignment Care Compare group NPD
• BPT Diagnostics LLC

  • Clinical Electrophysiology Physical Therapist
  • Scottsbluff, NE
  • NPI 1063250652
  NPD
• Action Potential RLLP

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1265274948

  Physical Therapist

  NPD
• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1619914314
  NPD
• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1013961770
  NPD (past)
• Action Potential RLLP

  dba Advanced Hand and Orthopedic Rehabilitation

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1093736316
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1730873043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 AVENUE B STE A",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614333",
            "telephone_number": "308-633-7878",
            "fax_number": "308-633-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 AVENUE B STE A",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614333",
            "telephone_number": "308-633-7878",
            "fax_number": "308-633-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRICKO",
        "first_name": "MCKENZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Perry, APRN, FNP-BC
• Jeffrey Bernard Peters, PT
• Jane Petersen
• Cheyanne Peterson
• Cheyenne Peterson
• Joyce Pettit
• Todd Bryant Pieper, DDS
• Johnna L Pierson, P.A.-C
• Crystal L Pirnie
• Angel Kay Plasencio

• Physical Therapist in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.