Mackenzie A Larsen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022632 Issued in IL

Practice address

546 N Rand Rd
Lake Zurich, IL 60047-3103

Phone

(847) 438-6624

Fax

(847) 438-6623

NPI assigned

Sep 8, 2016

Last updated

Aug 3, 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

Other names 1

• Mackenzie Mueller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1740737626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200",
            "fax_number": "630-928-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473103",
            "telephone_number": "847-438-6624",
            "fax_number": "847-438-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MACKENZIE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "MUELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lake Zurich Wellness Group
• Kris Lalas, RN, BSN
• Steven Alan Landman, D.D.S.
• Amy Lappin, PHDH, RDH
• Larowe & Barshinger LTD
• Marcello S. Leao, D.C.
• Katherine Lenz, O. D.
• Glenn Leonardo
• Lexington Health Care Center of Lake Zurich Inc
• Lexington Health Care Center of Lake Zurich, Inc.

• Physical Therapist in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.