IndividualActiveAccepts Medicare

Mackenzie Jackson, PT, DPT

NPI 1356955751 · Physical Therapist · Puyallup, WA

Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1356955751
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: PT, DPT
Sex: Female
Sole proprietor: No
License: 5501019681 (MI)

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense PT61528942 (WA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist225100000XLicense 5501019681 (MI)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
5 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
640 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Therapy Procedure Using Functional Activities97530	229	$33
Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110	201	$23
Therapy Procedure in a Group Setting97150	144	$16
Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112	54	$26
Evaluation for Physical Therapy, Typically 20 Minutes97161	12	$108

Typical Medicare-allowed amounts for these services range $16–$108 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

11212 Sunrise Blvd E Ste 202

Puyallup, WA 98374-8847

Phone: (253) 435-0360

Fax: (253) 435-0325

Street-level locationGet directions

More WA providers

Mailing address