Mackenzie Davis
NPI 1962205443ActiveIndividual· Physical Therapist· Perrysburg, OH
Physical Therapist with Legacy Healthcare Services Inc and 1 other group, practicing in Perrysburg, Ohio. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1962205443 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 31, 2025 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT021597 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI); Practitioner - Physical Therapist in Private Practice (OH) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
| Telehealth | Offers telehealth |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Aegis Group Practice LLCToledo, OH · 390 clinicians
Other Physical Therapist providers in Perrysburg
- 1417522731
- 1639364391
- 1730477928
- 1972727782
- 1124490834
- 1811227077
- 1104047844
- 1487157194
- 1275878282
- 1275497091
- 1437671419
- 1174917488