Individual provider Active NPI

Mackenzie Brooks, DPT

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1831700723
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19617 Issued in CO
Practice address
1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266
Phone
(303) 274-7332
Fax
(720) 497-6733
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 19617 CO Primary

Addresses

Primary practice location

1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266

Mailing address

1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266
Phone (303) 274-7332

Other practice location 1

1465 State Highway 31
Annandale, NJ 08801-3118
Phone (908) 328-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201203000008 NJ Practitioner - Physical Therapist in Private Practice 3971914524 Reassigns benefits to 3 organizations
I20240217000778 CO Practitioner - Physical Therapist in Private Practice 3971914524 Reassigns benefits to 1 organization

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
Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians

Practice addresses (Care Compare)

1265 SGT Jon Stiles Dr
Unit D
Highlands Ranch, CO 80129-2266
Phone (303) 274-7332

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19617COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Medical Group of Somerset CurrentSince Jan 1, 2021 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Feb 6, 2024 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Jan 4, 2024 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Feb 6, 2024 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Dec 1, 2020 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients

Locations

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

1265 Sgt Jon Stiles Dr
Unit D
Highlands Ranch, CO 80129
Phone (303) 274-7332

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

10 Johnston Dr
Watchung, NJ 07069

Organizations & group practices 6

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1831700723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 SGT JON STILES DR UNIT D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292266",
            "telephone_number": "303-274-7332",
            "fax_number": "720-497-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SGT JON STILES DR UNIT D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292266",
            "telephone_number": "303-274-7332",
            "fax_number": "720-497-6733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 State Highway 31",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "NJ",
            "postal_code": "088013118",
            "country_code": "US",
            "telephone_number": "908-328-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MACKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.