Individual provider Active NPI

Mackenzie Crowell, PT, DPT, ATC

  • Physical Medicine & Rehabilitation Physician
  • Wilmington, NC
National Provider Identifier
1992568067
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P22922 Issued in NC
Practice address
2250 Shipyard Blvd Ste 14
Wilmington, NC 28403-8070
Phone
(910) 398-6301
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P22922 NC Primary

Addresses

Primary practice location

2250 Shipyard Blvd Ste 14
Wilmington, NC 28403-8070

Mailing address

5710 Oleander Dr
Wilmington, NC 28403-4766
Phone (910) 398-6301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304000145 NC Practitioner - Physical Therapist in Private Practice 1850736646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zumbro and Connell IncGroup PAC ID 5698852499, 39 clinicians

Practice addresses (Care Compare)

2250 Shipyard Blvd
Suite 14
Wilmington, NC 28403-8070
Phone (910) 518-9951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22922NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro and Connell, Inc CurrentSince Feb 6, 2024 Accepting new patients

Locations

2250 Shipyard Blvd
Ste 14
Wilmington, NC 28403
Phone (910) 518-9951

5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1992568067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034766",
            "telephone_number": "910-398-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SHIPYARD BLVD STE 14",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038070",
            "telephone_number": "910-398-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "MACKENZIE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P22922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.