Mackenzie Nicole Jackson, PT, DPT
Physical Therapist · Puyallup, WA
Mackenzie Nicole Jackson, PT, DPT is a physical therapist with a practice address in Puyallup, Washington, and NPI 1356955751, issued on Sep 2, 2020. Check the license (Washington PT61528942, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mackenzie Nicole Jackson
- Credential
- PT, DPT
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- PT61528942 WA
5501019681 MI
Self-reported in NPPES; status is on the state search - Practice location
- 11212 Sunrise Blvd E Ste 202, Puyallup, WA 98374
- Phone
- (253) 435-0360
- Enumerated
- Sep 2, 2020
- Record last updated
- Aug 5, 2025
- Fax
- (253) 435-0325
- Medicare enrollment
- Enrolled (PECOS I20260102002311); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 7,493 in Washington → Look up another NPI →
Also registered at 11212 Sunrise Blvd E Ste 202
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Nicholas HowellPhysical Therapist1790323475
- Molly NguyenPhysical Therapist1801524905
- Danielle Oberg, OTR/LOccupational Therapist1922517432
- Alexis YamasPhysical Therapist1841008406
Verify Mackenzie Nicole Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PT61528942Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Physiotherapy Associates IncOlympia, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mackenzie Nicole Jackson among 7,493 physical therapist records in Washington
Mackenzie Nicole Jackson, PT, DPT is one of 7,493 physical therapist records with a practice address in Washington. 38% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 71% of them.
- NPI issued2020 · 71% of these records are older, 25% newer
- In a Medicare fileYes · 38% of these records are
- In the CMS Doctors and Clinicians fileYes · 39% of these records are
- Graduated2020 · median 2016 among the 2,929 with a school on file
- Record last updated2025 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
211 physical therapist records list a practice address in Puyallup
They are 211 of the 3,461 NPPES records with a practice address in Puyallup, and 7,493 physical therapist records in Washington.
All 7,493 in Washington → Every provider in Puyallup → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Gail Baudendistel, PTPuyallup, WA 983741861485336
- Jeffrey Billingsley, PTPuyallup, WA 983741710071147
- Earl Brewer, BS-PHYSIAL THERAPYPuyallup, WA 983741730196676
- John Butts, PTPuyallup, WA 983741881703908
- Claude Ciancio, MSPTPuyallup, WA 983741285626127
- Elizabeth Henry, PTPuyallup, WA 983741225122831
- Randall Johnson, PTPuyallup, WA 983741396747804
- Thomas Kabeary, MSM,PT,BAPuyallup, WA 983741326029901
Common questions
What is Mackenzie Nicole Jackson, PT, DPT's NPI number?
Mackenzie Nicole Jackson, PT, DPT's National Provider Identifier (NPI) is 1356955751, issued on Sep 2, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Mackenzie Nicole Jackson, PT, DPT located?
The NPPES record lists a practice address at 11212 Sunrise Blvd E Ste 202, Puyallup, WA, 98374. Phone: (253) 435-0360. Providers update this record themselves, so call before visiting.
How can I verify Mackenzie Nicole Jackson, PT, DPT's license?
NPPES lists Washington license number PT61528942, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.