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

Mackenzie Polston

Individual provider Physical Therapist · NPI 1023848249

Mackenzie Polston is a Physical Therapist in Private Practice in Bowling Green, Kentucky. Qualified in 2024, 2 years ago. Practices with Graves Gilbert Clinic PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
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Practice location Address checks out

165 Natchez Trace Ave Ste 200
Bowling Green, KY 42103-7947
Phone: (270) 796-4698
Fax: (270) 782-3274
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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 009154 (KY)

Record details

NPI number1023848249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address165 Natchez Trace Ave Ste 200, Bowling Green, KY 42103-7947

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Graves Gilbert Clinic Pllc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green