MACKENZIE PLACE FC
NPI 1043523533
Physical Therapist in Fort Collins, CO

Active since July 26, 2010CLIA 06D2231234 · Waiver
4750 PLEASANT OAK DR, FORT COLLINS, CO 80525(970) 207-1939 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mackenzie Place Fc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE PLACE FC (NPI 1043523533) is a healthcare organization registered as a physical therapist in Fort Collins, Colorado and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Laura A Cantrell, Director Of Outpatient, as its authorized official.

NPPES Registry Identity

NPI1043523533
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePREMERE REHAB LLC
Location Address4750 PLEASANT OAK DRFort Collins, CO 80525-3737
Mailing Address25117 Sw Parkway Ave, Suite DWilsonville, OR 97070-9697 · (503) 570-3665 · Fax (503) 570-9155
Organization SubpartNo
Authorized OfficialLaura A CantrellDirector Of Outpatient · (360) 901-8111
Enumeration DateJuly 26, 2010
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1043523533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
4750 PLEASANT OAK DR, Fort Collins, CO 80525

Other Names 1

Doing Business AsMackenzie Place Fc

Other Identifiers 1

OtherCOA104421CO · Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2231234

Mackenzie Place - Fort Collins · Fort Collins, CO
Active · expires Jul 30, 2027
CLIA Number06D2231234
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorSusan M. Walker
Laboratory Phone(206) 436-7827
Laboratory LocationMackenzie Place - Fort Collins4750 Pleasant Oak Drive, Fort Collins, CO 80525
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4750 PLEASANT OAK DR
FORT COLLINS, CO 80525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premere Rehab LLC's NPI number?

The NPI number for Premere Rehab LLC is 1043523533. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is doing business as Mackenzie Place Fc.

Where is Premere Rehab LLC located?

Premere Rehab LLC is located at 4750 Pleasant Oak Dr, Fort Collins, CO 80525. The listed phone number is (970) 207-1939.

What is Premere Rehab LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Does Premere Rehab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2231234) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premere Rehab LLC was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.