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Active NPI 1356955751 Individual Practitioner Female Practitioner

Dr. Mackenzie Nicole Jackson , PT, DPT

Physical Therapist • Puyallup, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mackenzie Jackson, PT, DPT is a certified Physical Therapist practicing in Puyallup, WA. With approximately 6 years of clinical experience since completing medical education in 2020, Dr. Jackson delivers high-quality medical care to the local community at 11212 SUNRISE BLVD E STE 202.

Dr. Jackson is affiliated with Physiotherapy Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure in a group setting. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11212 Sunrise Blvd E Ste 202

Puyallup, WA 983748847

Telephone 2534350360
Fax 2534350325
Associated Practice Facility / Clinic
🏢 Multicare Health System Facility NPI 1205764594

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Puyallup, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
216 Specialists

Practicing in Puyallup, WA (7580 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (6 Years) 6 Yrs
Puyallup Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description 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 of physical therapy, typically 20 minutes
12 12 $190.00 $107.99

Medical Specialties & State Licenses

CMS Verified: 2025-08-05
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License 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

State License 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.

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

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

6 Associated Practitioners
Elizabeth Coakley

Physical Therapist - Orthopedic

NPI 1437638905
Nicholas Howell

Physical Therapist

NPI 1790323475
Molly Nguyen

Physical Therapist

NPI 1801524905
Alexis Yamas

Physical Therapist

NPI 1841008406
Dr. Michelle Echer , DPT

Physical Therapist

NPI 1891133161

Doctor of Physical Therapy

Danielle Oberg , OTR, L

Occupational Therapist

NPI 1922517432

Occupational Therapist Registered, L

Career & Practice History Timeline

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

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

📍
Updated Practice Location September 02, 2020

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

📍
Updated Business Mailing Address September 02, 2020

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

👤
Provider Name / Credentials Updated September 02, 2020

Recorded as MACKENZIE MORGAN, PT, DPT

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

Physical Therapist (License #5501019681 in MI)

🟢
Initial NPI Registration & Enumeration September 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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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

Mailing Address

11212 Sunrise Blvd E Ste 202

Puyallup, WA 983748847

Phone: 2534350360

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.