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

Mackenzie C Weisman, DPT

Individual provider Physical Therapist · NPI 1215612072

Mackenzie C Weisman, DPT is a Physical Therapist in Private Practice in Minnetonka, Minnesota. Qualified in 2023, 3 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota and Oregon.

Years since qualifying
3
Licensed in
MN, OR
In the registry since
2023
Specialties on file
2
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

12324 Wayzata Blvd
Minnetonka, MN 55305-1919
Phone: (877) 609-0123
Fax: (888) 425-0398
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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 13066 (MN)
Physical Therapist Taxonomy 225100000X · Licence 65015 (OR)

Record details

NPI number1215612072
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address3500 American Blvd W Ste 300, Bloomington, MN 55431-4442

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Minnetonka