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

Mackenzie Moore, PT, DPT

Individual provider Physical Therapist · NPI 1154041473

Mackenzie Moore, PT, DPT is a Physical Therapist in Private Practice in Colorado Springs, Colorado. Qualified in 2022, 4 years ago. Practices with Orthosc LLC, a 115-clinician group and accepts Medicare assignment. Licensed in Colorado and Maryland.

Years since qualifying
4
Licensed in
CO, MD
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3470 Centennial Blvd Ste 115
Colorado Springs, CO 80907-4091
Phone: (402) 320-8411
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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 PTL.0020694 (CO)
Physical Therapist Taxonomy 225100000X · Licence 29146 (MD)

Record details

NPI number1154041473
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orthosc Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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