Active NPI
Mara Mackinnon, DPT
- Physical Therapist
- Oakhurst, CA
National Provider Identifier
1801434931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297761
- Practice address
- 39930 Sierra Way Ste a
Oakhurst, CA 93644-8304 - Phone
- (559) 683-0974
- NPI assigned
- Dec 19, 2019
- 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 | 297761 | CA | Primary |
Addresses
Primary practice location
39930 Sierra Way Ste a
Oakhurst, CA 93644-8304
Mailing address
39930 Sierra Way Ste a
Oakhurst, CA 93644-8304
Phone (559) 683-0974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230915003095 | CA | Practitioner - Physical Therapist in Private Practice | 7416383120 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
39930 Sierra Way
Suite a
Oakhurst, CA 93644-8304
Phone (559) 683-0974
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.53 of 100
- Quality
- 87.34
- Improvement activities
- 40
- Cost
- 71.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakhurst Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
39930 Sierra Way
Ste A
Oakhurst, CA 93644
Phone (559) 683-0974
Organizations & group practices 1
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": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1801434931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39930 SIERRA WAY STE A",
"city": "OAKHURST",
"state": "CA",
"postal_code": "936448304",
"telephone_number": "559-683-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39930 SIERRA WAY STE A",
"city": "OAKHURST",
"state": "CA",
"postal_code": "936448304",
"telephone_number": "559-683-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKINNON",
"first_name": "MARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakhurst, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.