Mackenzie Marie Freeman, PT, DPT
NPI 1316537491ActiveIndividual· Physical Therapist· Riverside, MO
Physical Therapist (PT, DPT) with Northland Physical Therapy and Rehab Services Inc, practicing in Riverside, Missouri. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1316537491 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jan 22, 2021 |
| Last updated in NPPES | Jan 22, 2021 |
| Certified by provider | Jan 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2020026180 | MO |
| Physical Therapist | 225100000X | 11-06472 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (KS) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Northland Physical Therapy and Rehab Services IncLees Summit, MO · 125 clinicians
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