MCKENNA MACKINTOSH DPT
NPI 1477169001
Physical Therapist - Orthopedic in Ridgefield, WA

Active since September 18, 2020Accepts Medicare Assignment
109 S 65TH AVE STE 105, RIDGEFIELD, WA 98642(360) 309-6189(360) 309-6193 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mckenna Mackintosh Dpt NPPES

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

MCKENNA MACKINTOSH DPT (NPI 1477169001) is an individual orthopedic provider in Ridgefield, Washington, licensed in Washington (PT61069123) and active in the NPI registry since September 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1477169001
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameMCKENNA MACKINTOSHCredential: DPT
Location Address109 S 65TH AVE STE 105Ridgefield, WA 98642-3408
Mailing Address109 S 65th Ave Ste 105Ridgefield, WA 98642-3408 · (360) 309-6189 · Fax (360) 309-6193
Fax(360) 309-6193
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1477169001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in WA · PT61069123
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical TherapistTaxonomy 225100000X · License PT61069123 (WA)
109 S 65TH AVE STE 105, Ridgefield, WA 98642

Other Identifiers 1

OtherPT61069123WA · Physical Therapy License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mckenna Mackintosh 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 ID2668882598
PECOS Enrollment IDI20201104003141

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Physical Therapy)
109 S 65TH AVE STE 105
RIDGEFIELD, WA 98642
Acupuncturist
109 S 65TH AVE STE 105
RIDGEFIELD, WA 98642
Acupuncturist
109 S 65TH AVE STE 105
RIDGEFIELD, WA 98642
Clinic/Center (Physical Therapy)
109 S 65TH AVE STE 105
RIDGEFIELD, WA 98642

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 Mckenna Mackintosh's NPI number?

The NPI number for Mckenna Mackintosh is 1477169001. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Mckenna Mackintosh located?

Mckenna Mackintosh practices at 109 S 65th Ave Ste 105, Ridgefield, WA 98642. The listed phone number is (360) 309-6189.

What is Mckenna Mackintosh's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Mckenna Mackintosh enrolled in Medicare?

Yes. Mckenna Mackintosh 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.

What insurance does Mckenna Mackintosh accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mckenna Mackintosh 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 Mckenna Mackintosh was last updated on September 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.