MACKENZIE GRAE THACKER DPT
NPI 1235994161
Physical Therapist in Pawleys Island, SC
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
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
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.
Medicare Billing Reassignments
10Medicare 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.
Pawleys Island, SC 29585
- Reassigned Medicare billing, South Carolina enrollment
- 13 clinicians in this Medicare group
Murrells Inlet, SC 29576
- Reassigned Medicare billing, South Carolina enrollment
- 14 clinicians in this Medicare group
Myrtle Beach, SC 29588
- Reassigned Medicare billing, South Carolina enrollment
- 13 clinicians in this Medicare group
Myrtle Beach, SC 29577
- Reassigned Medicare billing, South Carolina enrollment
- 14 clinicians in this Medicare group
Myrtle Beach, SC 29579
- Reassigned Medicare billing, South Carolina enrollment
- 12 clinicians in this Medicare group
Myrtle Beach, SC 29579
- Reassigned Medicare billing, South Carolina enrollment
- 13 clinicians in this Medicare group
Myrtle Beach, SC 29577
- Reassigned Medicare billing, South Carolina enrollment
- 13 clinicians in this Medicare group
Conway, SC 29526
- Reassigned Medicare billing, South Carolina enrollment
- 13 clinicians in this Medicare group
Longs, SC 29568
- Reassigned Medicare billing, South Carolina enrollment
- 13 clinicians in this Medicare group
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.
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.
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.
PAWLEYS ISLAND, SC 29585
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.