Individual provider Active NPI

Alistair Gregor C Mackenzie, P.T.

  • Physical Therapist
  • Vandalia, OH
National Provider Identifier
1932139060
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10596 Issued in OH
Practice address
830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone
(937) 890-9235
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 10596 OH Primary

Addresses

Primary practice location

830 Falls Creek Dr
Vandalia, OH 45377-8600

Mailing address

830 Crossroads CT.
Vandalia, OH 45377-9415
Phone (937) 890-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061031000582 OH Practitioner - Physical Therapist in Private Practice 2769487248 Reassigns benefits to 1 organization
I20241003001227 AZ Practitioner - Physical Therapist in Private Practice 2769487248 Reassigns benefits to 1 organization
I20250115002478 WA Practitioner - Physical Therapist in Private Practice 2769487248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xcel Physical Therapy LLCGroup PAC ID 9032525696, 16 clinicians

Practice addresses (Care Compare)

830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10596OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Dec 20, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Aug 9, 2024 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Dec 20, 2024 Accepting new patients
Xcel Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Xcel Sports Medicine LLC Physical Therapist PastSince Jun 30, 2006 Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

7601 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 293-5551

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

515 E Main St
Ste D
Anna, OH 45302
Phone (937) 639-2063

3916 Indian Ripple Rd
Ste 150
Dayton, OH 45440
Phone (937) 702-9735

830 Falls Creek Dr
Vandalia, OH 45377
Phone (937) 890-9235

801 Auburn Way N
Ste E
Auburn, WA 98002
Phone (253) 736-2340

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

Organizations & group practices 7

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1932139060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CROSSROADS CT.",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453779415",
            "telephone_number": "937-890-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FALLS CREEK DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453778600",
            "telephone_number": "937-890-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "ALISTAIR GREGOR",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "10596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.