Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mackenzie J Cichon

Individual provider Physical Therapist · NPI 1245721851

Mackenzie J Cichon is registered under Physical Therapist in Private Practice in Davenport, Iowa. Qualified in 2018, 8 years ago. Practices with Stadia Sports Medicine PC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1700 N Division St Ste 200
Davenport, IA 52804
Phone: (563) 324-2263
Fax: (563) 324-0719
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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 092129
Physical Therapist Taxonomy 225100000X

Record details

NPI number1245721851
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Stadia Sports Medicine Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients61
Services billed 1,552 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Stadia Sports Medicine PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Davenport