IndividualActive
Mackenzie Tezak, ATC, LAT
NPI 1962225409 · Athletic Trainer · Austin, TX
Provider details
- NPI number
- 1962225409
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT9687 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
12400 Mellow Meadow Dr
Austin, TX 78750-1824
Phone: (512) 994-8899
Street-level locationGet directions
Mailing address
820 Camino Vaquero Pkwy Apt 2303
Austin, TX 78748-3305
Registry dates
- Enumerated
- 2024-11-04
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.