DR. MAKENZIE ALYCE HEISDORF (DPT) – Physical Therapist, NPI 1104861327
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA
Provider Addresses for DR. MAKENZIE ALYCE HEISDORF (DPT)
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 926732808
Phone: (949) 496-0122
Fax: (949) 496-5027
Type: Mailing
29803 Santa Margarita Pkwy
Rancho Santa Margarita, CA 926883609
Phone: (949) 459-9010
Fax: (949) 459-9020
Type: Location
901, Oak Park Boulevard, Pismo Beach, San Luis Obispo County, California, 93433, United States
SUITE 102
PISMO BEACH, CA 934493408
Phone: (805) 481-8272
Fax: (805) 481-8045
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130109000419 | I | Physical Therapist In Private Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97140 | Therapy procedure using manual technique, each 15 minutes | 1,054 | 48 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,035 | 47 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 49 | 42 | $0 |
Insurance plans in this area (ZIP 92673)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA |
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