Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104348861 Individual Practitioner Female Practitioner

Mackenzie Van Loo , PT

Physical Therapist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Mackenzie Van Loo, PT is a registered healthcare professional specializing in Physical Therapist in Bend, OR. Practice services are available at 336 SW CYBER DR STE 107 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

336 Sw Cyber Dr Ste 107

Bend, OR 97702

Telephone 5413825500
Fax 5413895669
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
275 Specialists

Practicing in Bend, OR (4188 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
182 35 $100.72 $29.95
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
174 27 $90.45 $26.29
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
58 19 $77.90 $22.37
97162 Evaluation for physical therapy, typically 30 minutes
17 17 $262.29 $97.76
97161 Evaluation of physical therapy, typically 20 minutes
11 11 $262.29 $98.61

Medical Specialties & State Licenses

CMS Verified: 2022-12-30
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License OR 62296

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500729554 (OR)
Commercial Insurance / Payer ID Medicare
R195657 (OR)

Secondary Practice Locations

2191 Nw 2nd St Bldg 4

Mcminnville, OR 971289106

Phone: 5034349594

2191 Nw 2nd St Bldg 4

Mcminnville, OR 971289106

Phone: 5034349594

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Jennifer Hughes , DPT

Physical Therapist

NPI 1295062263

Doctor of Physical Therapy

Robert Hollander , PT

Physical Therapist

NPI 1366571838

Physical Therapist

Meagan Dahl , PT

Physical Therapist

NPI 1376118190

Physical Therapist

Cathey Kahlie , MS PT

Physical Therapist

NPI 1508919838

Master of Science in Physical Therapy

Ronald Carpenter , PT

Physical Therapist

NPI 1528001690

Physical Therapist

Dr. Molly Nelson , DPT

Physical Therapist

NPI 1578763272

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address December 30, 2022

Registered at PO BOX 1517, PENDLETON, OR 978010410 (Tel: 8777081119)

📍
Updated Practice Location August 08, 2018

Registered at 336 SW CYBER DR STE 107, BEND, OR 97702 (Tel: 5413825500)

📍
Updated Business Mailing Address August 08, 2018

Registered at 336 SW CYBER DR STE 107, BEND, OR 977021682 (Tel: 5413825500)

NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2017

Registered at 2191 NW 2ND ST BLDG 4, MCMINNVILLE, OR 971289106 (Tel: 5034349594)

📍
Updated Business Mailing Address August 17, 2017

Registered at 16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 972247736 (Tel: 8002198835)

👤
Provider Name / Credentials Updated August 17, 2017

Recorded as MACKENZIE VAN LOO, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Physical Therapist (License #62296 in OR)

NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2017

Registered at 2191 NW 2ND ST BLDG 4, MCMINNVILLE, OR 971289106 (Tel: 5034349594)

📍
Updated Business Mailing Address August 09, 2017

Registered at 16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 972247736 (Tel: 8002198835)

👤
Provider Name / Credentials Updated August 09, 2017

Recorded as MACKENZIE VAN LOO, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Physical Therapist (License #62296 in OR)

🟢
Initial NPI Registration & Enumeration July 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104348861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2017
Last Update: December 30, 2022
Sole Proprietor: No

Mailing Address

Po Box 1517

Pendleton, OR 978010410

Phone: 8777081119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.