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

Mackenzie Beaudoin, DPT

Individual provider Physical Therapist · NPI 1629866942

Mackenzie Beaudoin, DPT is a Physical Therapist in Private Practice in South Portland, Maine. Qualified in 2024, 2 years ago. Practices with Reform Physical Therapy Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
2
Licensed in
ME
In the registry since
2025
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

525 Main St Ste C
South Portland, ME 04106-5463
Phone: (207) 274-6245
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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 PT6940 (ME)

Record details

NPI number1629866942
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address190 Pleasant St, Brunswick, ME 04011-2213

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Reform Physical Therapy Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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