Individual provider Active NPI

Mackenzie Blake Vineyard, PT, DPT, OCS

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1760057970
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017060 Issued in CO
Practice address
14400 E Jewell Ave
Aurora, CO 80012-5689
Phone
(303) 283-5323
NPI assigned
May 21, 2021
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20210607002444 CO Practitioner - Physical Therapist in Private Practice 5890195234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.65 of 100Reported as group
Quality
84.45
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017060COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Denver Physical Therapy, P.C. CurrentSince Jun 6, 2022 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Jun 6, 2022 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.

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.

Verify at the official NPI Registry.