MCKENZIE GARVEY DISTEFANO
NPI 1225462559
Physical Therapist in Wenham, MA
About Mckenzie Garvey Distefano NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZIE GARVEY DISTEFANO (NPI 1225462559) is an individual physical therapist in Wenham, Massachusetts and active in the NPI registry since August 2013. She is a graduate of Other (2013).
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.
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
Mckenzie Garvey Distefano 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 Reassignments
2Medicare enrollment records show Mckenzie Distefano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wenham, MA 01984
- Reassigned Medicare billing, Massachusetts enrollment
- 12 clinicians in this Medicare group
Andover, MA 01810
- Reassigned Medicare billing, Massachusetts enrollment
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 2
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 01984 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WENHAM, MA 01984
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 Mckenzie Distefano's NPI number?
The NPI number for Mckenzie Distefano is 1225462559. It was assigned to this individual provider in the NPPES registry on August 22, 2013.
Where is Mckenzie Distefano located?
Mckenzie Distefano practices at 255 Grapevine Rd, Wenham, MA 01984. The listed phone number is (978) 867-4095.
What is Mckenzie Distefano's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mckenzie Distefano enrolled in Medicare?
Yes. Mckenzie Distefano 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 organizations bill Medicare for Mckenzie Distefano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Distefano reassigns Medicare benefits to 2 organizations: Gordon College (Wenham, MA) and Strength And Balance Physical Therapy (Andover, MA). Each 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 Mckenzie Distefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mckenzie Distefano was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mckenzie Garvey Distefano · NPI 1225462559
Physical Therapist provider in Wenham, Massachusetts. Individual provider, active in the CMS NPPES registry since August 22, 2013.
## Identity
- **NPI:** 1225462559 (Entity type: Individual)
- **Enumerated:** August 22, 2013
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Sole proprietor:** No
## Practice location
- **Address:** 255 GRAPEVINE RD, Wenham, MA 01984-1813
- **Phone:** (978) 867-4095
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Gordon College (NPI 1831375278, Wenham, MA); Strength And Balance Physical Therapy (NPI 1497464937, Andover, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** February 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1225462559) · Data from the CMS NPPES public registry.