Mackenzie Davis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021597 Issued in OH

Practice address

7100 S Wilkinson Way
Perrysburg, OH 43551-2590

Phone

(419) 931-9390

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, MI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Aegis Group Practice LLCGroup PAC ID 5193036432, shared by 24 NPIs, 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • West Chester, OH
  • NPI 1174153266
  Medicare reassignment Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Mansfield, OH
  • NPI 1093389751
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • East Lansing, MI
  • NPI 1700451374
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Perrysburg, OH
  • NPI 1417522731
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Lambertville, MI
  • NPI 1063087633
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1962205443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 ST. LAWRENCE CIRCLE",
            "address_2": "ATTN: SUE PRINGLE",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "44067",
            "telephone_number": "479-201-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 S WILKINSON WAY",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512590",
            "telephone_number": "419-931-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica S Datta, LSW
• Mary Koch Davies, MS OTR/L
• Rhyn Davies, CCC-SLP
• Giovanti Davis, DO
• Keyshawn Davis, MD
• Rebecca Ann Davis, L.M.T.
• Tara Marie De Bortoli, COTA/L
• Todd Dean
• Hannah Lynn Deblase, APRN CNP
• Debra Mowery

• Physical Therapist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.