MACKENZIE D JACKSON-RUTH PT
NPI 1700762739
Physical Therapist in Jacksonville, FL

Active since August 14, 2025
484 RIVERSIDE AVE, JACKSONVILLE, FL 32202(904) 579-2824 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mackenzie D Jackson-ruth Pt NPPES

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

MACKENZIE D JACKSON-RUTH PT (NPI 1700762739) is an individual physical therapist in Jacksonville, Florida, licensed in Florida (PT43435) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1700762739
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMACKENZIE D JACKSON-RUTHCredential: PT
Location Address484 RIVERSIDE AVEJacksonville, FL 32202-4912
Mailing AddressPo Box 932184Atlanta, GA 31193-2184 · (856) 678-3484
Sole ProprietorYes
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1700762739 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 FL · PT43435
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.
484 RIVERSIDE AVE, Jacksonville, FL 32202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie D Jackson-ruth Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mackenzie Jackson-ruth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation
100 JOHN KNOX RD STE H2
Tallahassee, FL 32303
  • Reassigned Medicare billing, Florida enrollment
  • 61 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.

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.

Physical Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Physical Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Physical Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202

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 Jackson-ruth's NPI number?

The NPI number for Mackenzie Jackson-ruth is 1700762739. It was assigned to this individual provider in the NPPES registry on August 14, 2025.

Where is Mackenzie Jackson-ruth located?

Mackenzie Jackson-ruth practices at 484 Riverside Ave, Jacksonville, FL 32202. The listed phone number is (904) 579-2824.

What is Mackenzie Jackson-ruth's specialty?

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

Is Mackenzie Jackson-ruth enrolled in Medicare?

Yes. Mackenzie Jackson-ruth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mackenzie Jackson-ruth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Jackson-ruth reassigns Medicare benefits to H2 Rehabilitation Services Of Florida LLC (Tallahassee, FL). The 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 Jackson-ruth'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 Jackson-ruth was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.