Active NPI
Mackenzie Blake Vineyard, PT, DPT, OCS
- Physical Therapist
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0017060
- Practice address
- 14400 E Jewell Ave
Aurora, CO 80012-5689 - Phone
- (303) 283-5323
- NPI assigned
- May 21, 2021
- Last updated
- Apr 22, 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 | PTL.0017060 | CO | Primary |
Addresses
Primary practice location
14400 E Jewell Ave
Aurora, CO 80012-5689
Mailing address
8050 W 50TH Ave
Arvada, CO 80002-4406
Phone (479) 883-9127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.65 of 100
- Quality
- 84.45
- Improvement activities
- 40
- Cost
- 71.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0017060 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Denver Physical Therapy, P.C. | Current | Accepting new patients | |
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Denver Physical Therapy, P.C. | Past | Accepting new patients | |
| Denver Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
24300 E Smoky Hill Rd
Unit 126
Aurora, CO 80016
Phone (303) 680-1772
6840 S University Blvd
Ste 400
Centennial, CO 80122
Phone (303) 771-5120
2700 S Broadway
Ste B
Englewood, CO 80113
Phone (720) 269-4348
6660 Timberline Rd
Ste 110
Highlands Ranch, CO 80130
Phone (303) 683-4500
330 S Vance St
Lakewood, CO 80226
Phone (303) 274-2404
Organizations & group practices 5
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.
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-
- Physical Therapist
- Denver, CO
- NPI 1912717000
-
- Multi-Specialty Clinic/Center
- Highlands Ranch, CO
- NPI 1215532882
-
dba Pro Active Physical Therapy Lakewood
- Physical Therapist
- Lakewood, CO
- NPI 1669534053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1760057970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 W 50TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800024406",
"telephone_number": "479-883-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14400 E JEWELL AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800125689",
"telephone_number": "303-283-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINEYARD",
"first_name": "MACKENZIE",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0017060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.