MACKENZIE GRAE THACKER DPT
NPI 1235994161
Physical Therapist in Pawleys Island, SC

Active since February 20, 2024Accepts Medicare Assignment
38 BUSINESS CENTER DRIVE, PAWLEYS ISLAND, SC 29585(843) 235-0200 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mackenzie Grae Thacker Dpt NPPES

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

MACKENZIE GRAE THACKER DPT (NPI 1235994161) is an individual physical therapist in Pawleys Island, South Carolina, licensed in South Carolina (12231) and active in the NPI registry since February 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1235994161
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMACKENZIE GRAE THACKERCredential: DPT
Location Address38 BUSINESS CENTER DRIVEPawleys Island, SC 29585
Mailing AddressPo Box 2397Pawleys Island, SC 29585-2397 · (843) 235-0200 · Fax (843) 235-0242
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 20, 2024
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1235994161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in SC · 12231
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.
38 BUSINESS CENTER DRIVE, Pawleys Island, SC 29585

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 Grae Thacker 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.

PECOS PAC ID2860832615
PECOS Enrollment IDI20240426003402

Medicare Billing Reassignments

10

Medicare enrollment records show Mackenzie Thacker reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
38 BUSINESS CENTER DRIVE
Pawleys Island, SC 29585
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
Physical Therapy
11916 HIGHWAY 707 STE C
Murrells Inlet, SC 29576
  • Reassigned Medicare billing, South Carolina enrollment
  • 14 clinicians in this Medicare group
Physical Therapy
3076 DICK POND RD UNIT 4
Myrtle Beach, SC 29588
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
Physical Therapy
1620 FARROW PKWY UNIT A5
Myrtle Beach, SC 29577
  • Reassigned Medicare billing, South Carolina enrollment
  • 14 clinicians in this Medicare group
Physical Therapy
3491 BELLE TERRE BLVD SPC C1
Myrtle Beach, SC 29579
  • Reassigned Medicare billing, South Carolina enrollment
  • 12 clinicians in this Medicare group
Physical Therapy
2140 OAKHEART RD
Myrtle Beach, SC 29579
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
Physical Therapy
1301 48TH AVE N, SUITE D
Myrtle Beach, SC 29577
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
Physical Therapy
2676 CHURCH ST, UNIT D-2
Conway, SC 29526
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
Physical Therapy
2126 HIGHWAY 9 E STE E3
Longs, SC 29568
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
Physical Therapy
111 PAVILION DR STE 20
Little River, SC 29566
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 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 4

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,307 services126 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
912 services123 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
403 services86 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29585 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
38 BUSINESS CENTER DRIVE
PAWLEYS ISLAND, SC 29585
Physical Therapist
38 BUSINESS CENTER DRIVE
PAWLEYS ISLAND, SC 29585
Physical Therapist
38 BUSINESS CENTER DRIVE
PAWLEYS ISLAND, SC 29585
Clinic/Center (Physical Therapy)
38 BUSINESS CENTER DRIVE
PAWLEYS ISLAND, SC 29585
Physical Therapist
38 BUSINESS CENTER DRIVE
PAWLEYS ISLAND, SC 29585
Physical Therapist
38 BUSINESS CENTER DRIVE
PAWLEYS ISLAND, SC 29585

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 Thacker's NPI number?

The NPI number for Mackenzie Thacker is 1235994161. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Mackenzie Thacker located?

Mackenzie Thacker practices at 38 Business Center Drive, Pawleys Island, SC 29585. The listed phone number is (843) 235-0200.

What is Mackenzie Thacker's specialty?

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

Is Mackenzie Thacker enrolled in Medicare?

Yes. Mackenzie Thacker 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 Mackenzie Thacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Thacker reassigns Medicare benefits to 10 organizations: Professional Rehabilitation Services, Inc (Pawleys Island, SC), Prs 4, LLC (Murrells Inlet, SC), Prs II, LLC (Myrtle Beach, SC), Prs 8, LLC (Myrtle Beach, SC), Prs 10, LLC (Myrtle Beach, SC) and 5 more organizations, listed in the Medicare section above. 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 Mackenzie Thacker'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 Mackenzie Thacker was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.