Individual provider Active NPI

Mackenzie Lynn Schroeder, PT

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1891253704
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2021006189 Issued in MO
Practice address
1982 1St Capitol Dr
Saint Charles, MO 63301-1609
Phone
(636) 949-3926
NPI assigned
Mar 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 2021006189 MO Primary

Addresses

Primary practice location

1982 1St Capitol Dr
Saint Charles, MO 63301-1609

Mailing address

1982 1St Capitol Dr
Saint Charles, MO 63301-1609
Phone (636) 949-3926

Other practice location 1

81 Lac Terre Ct
Saint Charles, MO 63304-1000
Phone (636) 544-0610

Other names 1

  • Mackenzie Hayden Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210226002130 MO Practitioner - Physical Therapist in Private Practice 5991110850 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
Babar Enterprises LLCGroup PAC ID 2365342318, 19 clinicians

Practice addresses (Care Compare)

1982 1St Capitol Dr
Saint Charles, MO 63301-1609
Phone (636) 949-3926

605 E Booneslick Rd
Suite 3
Warrenton, MO 63383-2127
Phone (636) 456-6350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Babar Enterprises LLC Physical Therapist CurrentSince Feb 19, 2021 Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients
Babar Enterprises LLC Physical Therapist PastSince Feb 19, 2021 Accepting new patients

Locations

2982 Highway K
O Fallon, MO 63368
Phone (636) 978-5255

1982 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 916-4625

4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625

605 E Booneslick Rd
Ste 3
Warrenton, MO 63383
Phone (636) 456-6350

Organizations & group practices 3

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": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1891253704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011609",
            "telephone_number": "636-949-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011609",
            "telephone_number": "636-949-3926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Lac Terre Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633041000",
            "country_code": "US",
            "telephone_number": "636-544-0610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "MACKENZIE",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-10",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021006189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "HAYDEN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.