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

Mackenzie Nicole Jackson, PT, DPT

Individual provider Physical Therapist · NPI 1356955751

Mackenzie Nicole Jackson, PT, DPT is a Physical Therapist in Private Practice in Puyallup, Washington. Qualified in 2020, 6 years ago. Practices with Multicare Health System, a 2,302-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
6
Licensed in
MI, WA
In the registry since
2020
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

11212 Sunrise Blvd E Ste 202
Puyallup, WA 98374-8847
Phone: (253) 435-0360
Fax: (253) 435-0325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 552 S Paseo Dorotea Ste 4, Palm Springs, CA 92264-1437 — (760) 325-5950

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61528942 (WA)
Physical Therapist Taxonomy 225100000X · Licence 5501019681 (MI)

Record details

NPI number1356955751
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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