Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Mackenzie Nicole Small , PT, DPT

Physical Therapist β€’ Corvallis, OR

Active NPI 1982142642 Individual Practitioner Female Practitioner
Practice location in NPPES

815 Nw 9th St Ste 180
Corvallis, OR 973306173

Call 5417685157 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

815 Nw 9th St Ste 180

Corvallis, OR 973306173

Telephone 5417685157
Organization at the Same NPPES Address or Phone
Good Samaritan Hospital Corvallis Facility NPI 1891246104

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Corvallis and Oregon

143 active clinicians are listed under Physical Therapist with a practice address in Corvallis, OR (4,127 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Corvallis

0% of these 143 clinicians have the CMS telehealth indicator.

46.9% of these 143 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-15
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES OR 62022

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500720322 (OR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
Dr. Megan Afshar , DPT

Physical Therapist

NPI 1639685043

Doctor of Physical Therapy

Dr. Tomoko Anzai , DPT

Physical Therapist

NPI 1497283261

Doctor of Physical Therapy

Ivona Bowman

Speech-Language Pathologist

NPI 1255013710
Holly Bray , PT

Physical Therapist

NPI 1396757456

Physical Therapist

Andrew Carlin , PT

Physical Therapist

NPI 1073250536

Physical Therapist

Marissa Carlin

Physical Therapist

NPI 1306403258

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Business Mailing Address November 11, 2020

Registered at PO BOX 1189, CORVALLIS, OR 973391189

πŸ‘€
Provider Name / Credentials Updated January 06, 2020

Recorded as MACKENZIE SMALL, PT, DPT

βœ…
NPI Profile Active July 31, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 31, 2017

Registered at 815 NW 9TH ST STE 180, CORVALLIS, OR 973306173 (Tel: 5417685187)

πŸ“
Updated Business Mailing Address July 31, 2017

Registered at 815 NW 9TH ST STE 180, CORVALLIS, OR 973306173 (Tel: (541) 768-5187)

πŸ‘€
Provider Name / Credentials Updated July 31, 2017

Recorded as MACKENZIE ENTRIKIN, PT, DPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2017

Physical Therapist (license number reported to NPPES: OR 62022)

βœ…
NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 02, 2017

Registered at 815 NW 9TH ST STE 180, CORVALLIS, OR 973306173 (Tel: 5417685187)

πŸ“
Business Mailing Address (Initial Record) February 02, 2017

Registered at 815 NW 9TH ST STE 180, CORVALLIS, OR 973306173 (Tel: 5417685187)

πŸ‘€
Provider Name / Credentials (Initial Record) February 02, 2017

Recorded as MACKENZIE ENTRIKIN, PSYD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Physical Therapist (license number reported to NPPES: OR 62022)

🟒
Initial NPI Registration & Enumeration February 02, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1982142642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2017
Last Update: March 15, 2021
Sole Proprietor: No

Other Physical Therapists in Corvallis

All Physical Therapists in Corvallis

Mailing Address

Po Box 1189

Corvallis, OR 973391189

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.