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

Dr. Makenzie Alyce Heisdorf, DPT

Individual provider Physical Therapist · NPI 1104861327

Dr. Makenzie Alyce Heisdorf, DPT is a Physical Therapist in Private Practice in San Clemente, California. Qualified in 2009, 17 years ago. Practices with Cowell Health Services Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

653 Camino De Los Mares Ste 110
San Clemente, CA 92673-2808
Phone: (949) 496-0122
Fax: (949) 496-5027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29803 Santa Margarita Pkwy, Rancho Santa Margarita, CA 92688-3609 — (949) 459-9010

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT27882 (CA)

Record details

NPI number1104861327
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 19, 2006
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

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 Cowell Health Services Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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