Individual provider Active NPI

Mara Mackinnon, DPT

  • Physical Therapist
  • Oakhurst, CA
National Provider Identifier
1801434931
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297761 Issued in CA
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

Updated by the provider on Oct 29, 2024

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 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 IDStateProvider typePAC IDDetails
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
Oakhurst Physical Therapy IncGroup PAC ID 3678475837, 4 clinicians

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 100Reported as group
Quality
87.34
Improvement activities
40
Cost
71.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oakhurst Physical Therapy Inc Physical Therapist CurrentSince Jul 6, 2023 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.

Verify at the official NPI Registry.