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

Mackenzie J Cichon

Individual provider Physical Therapist · NPI 1245721851

Mackenzie J Cichon is a 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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1700 N Division St Ste 200
Davenport, IA 52804
Phone: (563) 324-2263
Fax: (563) 324-0719
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address850 43rd Ave Ste 100, Moline, IL 61265-8401

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

Other providers in Davenport