Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Wallace Mackie, PT, DPT, OCS

Individual provider Physical Therapist · NPI 1851627079

Daniel Wallace Mackie, PT, DPT, OCS is a Physical Therapist in Private Practice in Canton, Georgia. Qualified in 2009, 17 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6768 Hickory Flat Hwy Ste 110
Canton, GA 30115-9376
Phone: (770) 721-5767
Fax: (770) 345-0158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT009812 (GA)

Record details

NPI number1851627079
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS
Sole proprietorNo
NPI enumeratedOctober 22, 2009
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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