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

Mackenzie C Boothe, DPT

Individual provider Physical Therapist · NPI 1780290486

Mackenzie C Boothe, DPT is a Physical Therapist in Private Practice in Ames, Iowa. Qualified in 2020, 6 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
6
Licensed in
IA
In the registry since
2020
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

2707 Stange Rd Ste 102
Ames, IA 50010-3965
Phone: (515) 956-4014
Fax: (515) 292-7200
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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 101593 (IA)

Record details

NPI number1780290486
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 17, 2020
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5581

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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