Individual provider Active NPI

Mackenzie Lynn Wesley, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1932618691
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5380 Issued in OK
Practice address
9900 Broadway Ext Ste 104
Oklahoma City, OK 73114-6323
Phone
(405) 254-7578
NPI assigned
Sep 26, 2017
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 5380 OK Primary

Addresses

Primary practice location

9900 Broadway Ext Ste 104
Oklahoma City, OK 73114-6323

Mailing address

9900 Broadway Ext Ste 104
Oklahoma City, OK 73114-6323

Other names 1

  • Mackenzie Lynn Barnes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103001214 OK Practitioner - Physical Therapist in Private Practice 8123386778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vibe Pelvic Health, LLCGroup PAC ID 7214341346, 2 clinicians

Practice addresses (Care Compare)

9900 Broadway Ext
Suite 104
Oklahoma City, OK 73114-6323
Phone (405) 254-7578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vibe Pelvic Health, LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients

Locations

1925 NW 142nd St
Oklahoma City, OK 73134
Phone (405) 254-7578

9900 Broadway Ext
Ste 104
Oklahoma City, OK 73114
Phone (405) 254-7578

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1932618691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BROADWAY EXT STE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BROADWAY EXT STE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146323",
            "telephone_number": "405-254-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "MACKENZIE",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "BARNES",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.