MACKENZIE PETERSEN DPT
NPI 1467396572
Physical Therapist in Joliet, IL
About Mackenzie Petersen Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE PETERSEN DPT (NPI 1467396572) is an individual physical therapist in Joliet, Illinois, licensed in Illinois (070.027431) and active in the NPI registry since April 2026. She is a graduate of University Of Michigan Medical School (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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mackenzie Petersen Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Petersen's NPI number?
The NPI number for Mackenzie Petersen is 1467396572. It was assigned to this individual provider in the NPPES registry on April 17, 2026.
Where is Mackenzie Petersen located?
Mackenzie Petersen practices at 2943 W Jefferson St, Joliet, IL 60435. The listed phone number is (630) 920-4670.
What is Mackenzie Petersen's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mackenzie Petersen enrolled in Medicare?
Yes. Mackenzie Petersen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mackenzie Petersen was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.