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

Individual provider Physical Therapist · NPI 1619410206

Mackenzie Trevellyan, DPT is a Physical Therapist in Private Practice in Albany, New York. Qualified in 2016, 10 years ago. Practices with Capital Region Physical Therapy, PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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

1873 Western Ave Ste 102
Albany, NY 12203-5028
Phone: (518) 439-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3971 Main St, Warrensburg, NY 12885-1152 — (518) 623-2888

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 041048 (NY)

Record details

NPI number1619410206
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 30, 2016
Last updated in NPPESNovember 28, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Capital Region Physical Therapy, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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