MACKENZIE LANE DPT
NPI 1144793167
Physical Therapist in Merritt Island, FL
About Mackenzie Lane Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE LANE DPT (NPI 1144793167) is an individual physical therapist in Merritt Island, Florida, licensed in Florida (PTT34299) and active in the NPI registry since January 2019. She maintains a secondary practice location in Melbourne and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mackenzie Lane Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie Lane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Melbourne, FL 32901
- Reassigned Medicare billing, Florida enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MERRITT ISLAND, FL 32953
MERRITT ISLAND, FL 32953
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 Mackenzie Lane's NPI number?
The NPI number for Mackenzie Lane is 1144793167. It was assigned to this individual provider in the NPPES registry on January 3, 2019. The provider is also known as Mackenzie Mikolajczyk.
Where is Mackenzie Lane located?
Mackenzie Lane practices at 1395 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953. The listed phone number is (321) 986-8812.
What is Mackenzie Lane's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mackenzie Lane enrolled in Medicare?
Yes. Mackenzie Lane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mackenzie Lane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Lane reassigns Medicare benefits to Harbor City Physical Therapy, PA (Melbourne, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Lane accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Mackenzie Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mackenzie Lane was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mackenzie Lane, DPT · NPI 1144793167
Physical Therapist provider in Merritt Island, Florida. Individual provider, active in the CMS NPPES registry since January 3, 2019.
## Identity
- **NPI:** 1144793167 (Entity type: Individual)
- **Enumerated:** January 3, 2019
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** PTT34299 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1395 N COURTENAY PKWY STE 102, Merritt Island, FL 32953
- **Phone:** (321) 986-8812 · **Fax:** (321) 327-2130
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Harbor City Physical Therapy, PA (NPI 1033243936, Melbourne, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 11, 2019
- **Other identifiers:** Other PTT34299
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Source: [NPI Profile](https://npiprofile.com/npi/1144793167) · Data from the CMS NPPES public registry.