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

Mackenzie Petersen, DPT

Individual provider Physical Therapist · NPI 1467396572

Mackenzie Petersen, DPT is a Physical Therapist in Private Practice in Joliet, Illinois. Graduated from University of Michigan Medical School in 2023, 3 years ago. Licensed in Illinois.

Years since qualifying
3
Trained at
University of Michigan Medical School
Licensed in
IL
In the registry since
2026
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

2943 W Jefferson St
Joliet, IL 60435-5235
Phone: (630) 920-4670
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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 070.027431 (IL)

Record details

NPI number1467396572
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address570 Village Center Dr Ste 205, Burr Ridge, IL 60527-4526

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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