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

Mr. William R Mackenzie, PT

Individual provider Physical Therapist · NPI 1457356404

Mr. William R Mackenzie, PT is a Physical Therapist in Private Practice in Vancouver, Washington. Qualified in 1987, 39 years ago. Practices with NW Interventional Medicine and Orthopedic Rehab PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
39
Licensed in
WA
In the registry since
2005
Specialties on file
2
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

11802 NE 65th St 100
Vancouver, WA 98662-5521
Phone: (360) 253-6883
Fax: (360) 892-7040
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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 PT00006628 (WA)
Chiropractor Taxonomy 111N00000X · Licence CH00034484 (WA)

Record details

NPI number1457356404
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESMarch 6, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Nw Interventional Medicine And Orthopedic Rehab Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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