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

Individual provider Physical Therapist · NPI 1548086341

Mackenzie Grube, DPT is a Physical Therapist in Private Practice in Avondale, Arizona. Qualified in 2024, 2 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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

1729 N Dysart Rd
Avondale, AZ 85392-1224
Phone: (623) 295-3630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32030 23rd Ave S, Federal Way, WA 98003-6031 — (253) 946-4852

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1548086341
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 26, 2024
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

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 Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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