Individual provider Active NPI

Mackenzie C Boothe, DPT

  • Physical Therapist
  • Ames, IA
National Provider Identifier
1780290486
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
101593 Issued in IA
Practice address
2707 Stange Rd Ste 102
Ames, IA 50010-3965
Phone
(515) 956-4014
Fax
(515) 292-7200
NPI assigned
Sep 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 101593 IA Primary

Addresses

Primary practice location

2707 Stange Rd Ste 102
Ames, IA 50010-3965

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5581
Phone (630) 575-1980

Other names 1

  • Mack C Boothe Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mboothe75987@directmcfarlandclinic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921001640 IA Practitioner - Physical Therapist in Private Practice 0941628127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

5045 Bentley Dr
Suite 190
West Des Moines, IA 50265-7010
Phone (515) 226-1616

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101593IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Sep 17, 2020 Accepting new patients
McFarland Clinic PC CurrentSince Feb 16, 2026 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 17, 2020 Accepting new patients
McFarland Clinic, PC Past Accepting new patients
McFarland Clinic, PC Past Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

5045 Bentley Dr
Ste 190
West Des Moines, IA 50265
Phone (515) 226-1616

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Interoperability endpoints

  • Direct secure messaging: mboothe75987@directmcfarlandclinic.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1780290486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595581",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 STANGE RD STE 102",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103965",
            "telephone_number": "515-956-4014",
            "fax_number": "515-292-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "MACKENZIE",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "101593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mboothe75987@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2707 Stange Rd Ste 102",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500103965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MACK",
            "last_name": "BOOTHE",
            "middle_name": "C",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.