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Dr. Mackenzie Nicole Jackson , PT, DPT

Physical Therapist • Puyallup, WA

Active NPI 1356955751 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

11212 Sunrise Blvd E Ste 202
Puyallup, WA 983748847

Call 2534350360 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

11212 Sunrise Blvd E Ste 202

Puyallup, WA 983748847

Telephone 2534350360
Fax 2534350325
Organization at the Same NPPES Address or Phone
Multicare Health System Facility NPI 1205764594

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Palm Springs, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Physiotherapy Associates Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare patients

47 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $17,133 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $12,621 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, “Does 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

Enrolled in Medicare (PECOS)

Dr. Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Puyallup and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Physical Therapist in Puyallup, WA (2024, 77 clinicians with data). Median for this group: 985. Middle half: 579 to 1,617.

Fewer Medicare Part B services than 65% of clinicians listed under Physical Therapist in Washington (2024, 2,354 clinicians with data). Median for this group: 1,036. Middle half: 534 to 1,799.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Physical Therapist in Puyallup, WA (2024, 77 clinicians with data). Median for this group: $29,263. Middle half: $15,769 to $42,792.

A lower Medicare-allowed amount than 70% of clinicians listed under Physical Therapist in Washington (2024, 2,354 clinicians with data). Median for this group: $29,632. Middle half: $15,490 to $50,193.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Physical Therapist in Puyallup, WA (2024, 77 clinicians with data). Median for this group: $21,455. Middle half: $12,555 to $32,467.

A lower Medicare payment amount than 70% of clinicians listed under Physical Therapist in Washington (2024, 2,354 clinicians with data). Median for this group: $22,305. Middle half: $11,661 to $37,674.

212 active clinicians are listed under Physical Therapist with a practice address in Puyallup, WA (7,500 in Washington).

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

Telehealth indicator in Puyallup

0.5% of these 212 clinicians have the CMS telehealth indicator.

42% of these 212 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2021–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
229 41 $90.00 $32.88
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
201 38 $70.00 $22.75
97150 Therapy procedure in a group setting
144 31 $40.00 $16.03
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
54 16 $80.00 $26.42
97161 Evaluation for physical therapy, typically 20 minutes
12 12 $190.00 $107.99

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-05
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES WA PT61528942

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.

Physical Therapist

NUCC Taxonomy Code: 225100000X

License # reported to NPPES MI 5501019681

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20260102002311

Enrollment State Jurisdiction

WA

PECOS Control ID

8921400193

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Physiotherapy Associates Inc

165 Lilly Rd Ne, Olympia, WA 985065086

Phone: 3604558014

Secondary Practice Locations

552 S Paseo Dorotea Ste 4

Palm Springs, CA 922641437

Phone: 7603255950

Clinicians Sharing This Practice Address or Phone

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

4 listed
Elizabeth Coakley

Physical Therapist - Orthopedic

NPI 1437638905
Dr. Michelle Echer , DPT

Physical Therapist

NPI 1891133161

Doctor of Physical Therapy

Nicholas Howell

Physical Therapist

NPI 1790323475
Molly Nguyen

Physical Therapist

NPI 1801524905

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 05, 2025

Registered at 11212 SUNRISE BLVD E STE 202, PUYALLUP, WA 983748847 (Tel: 2534350360)

📍
Updated Business Mailing Address August 05, 2025

Registered at 11212 SUNRISE BLVD E STE 202, PUYALLUP, WA 983748847 (Tel: 2534350360)

👤
Provider Name / Credentials Updated June 06, 2022

Recorded as MACKENZIE JACKSON, PT, DPT

📍
Updated Practice Location July 07, 2021

Registered at 552 S PASEO DOROTEA STE 4, PALM SPRINGS, CA 922641437 (Tel: 7603255950)

📍
Updated Business Mailing Address July 07, 2021

Registered at 552 S PASEO DOROTEA STE 4, PALM SPRINGS, CA 922641437 (Tel: 7603255950)

✅
NPI Profile Active September 02, 2020

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 02, 2020

Registered at 2117 E 11 MILE RD, WARREN, MI 480923553 (Tel: 5865734684)

📍
Business Mailing Address (Initial Record) September 02, 2020

Registered at 2117 E 11 MILE RD, WARREN, MI 480923553 (Tel: 5865734684)

👤
Provider Name / Credentials (Initial Record) September 02, 2020

Recorded as MACKENZIE MORGAN, PT, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2020

Physical Therapist (license number reported to NPPES: MI 5501019681)

🟢
Initial NPI Registration & Enumeration September 02, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356955751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2020
Last Update: August 05, 2025
Sole Proprietor: No

Other Physical Therapists in Puyallup

All Physical Therapists in Puyallup

Mailing Address

11212 Sunrise Blvd E Ste 202

Puyallup, WA 983748847

Phone: 2534350360

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.