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

Individual provider Physical Therapist · NPI 1144793167

Mackenzie Lane, DPT is a Physical Therapist in Private Practice in Merritt Island, Florida. Qualified in 2018, 8 years ago. Practices with Harbor City Physical Therapy, PA, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
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

1395 N Courtenay Pkwy Ste 102
Merritt Island, FL 32953
Phone: (321) 986-8812
Fax: (321) 327-2130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 N Wickham Rd Ste 103, Melbourne, FL 32935-8628 — (321) 327-8509

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTT34299 (FL)

Record details

NPI number1144793167
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJuly 11, 2019
Mailing address1395 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953-4474

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 Harbor City Physical Therapy, Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Merritt Island