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

Mackenzie N Dake, PT

Individual provider Physical Therapist · NPI 1639476039

Mackenzie N Dake, PT is a Physical Therapist in Private Practice in Paso Robles, California. Qualified in 2010, 16 years ago. Practices with San Luis Physical Therapy and Orthopedic Rehabilitation Inc, a 84-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1414 Park St
Paso Robles, CA 93446-2160
Phone: (805) 226-0975
Fax: (805) 226-0909
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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 PT37580 (CA)

Record details

NPI number1639476039
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 21, 2011
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice San Luis Physical Therapy And Orthopedic Rehabilitation Inc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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