MAKENNA PAGE BALACKI (PT, DPT) – Physical Therapist, NPI 1245841055

MAKENNA PAGE BALACKI (PT, DPT) is a healthcare provider. based in Yerington, Nevada. specializing in Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. 4360 (NV). The NPI Number for MAKENNA PAGE BALACKI (PT, DPT) is 1245841055

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MAKENNA PAGE BALACKI (PT, DPT)
NPI
1245841055
Phone
(775) 463-4500
Address
513 W BRIDGE ST
Enumeration Date
14 August 2020
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757836190
Graduation Year
2020 (6 years ago)
PAC ID
7012334808
Group Practice PAC ID
8628979267
Professional Enrollment ID
I20200825001477
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for MAKENNA PAGE BALACKI (PT, DPT)

  • 513 W BRIDGE ST

    STE E

    YERINGTON, NV 89447

    Phone: (775) 463-4500

    Fax: (775) 463-4545

    Type: Location

  • 1749 N STEWART ST STE 50

    CARSON CITY, NV 897062574

    Phone: (775) 392-3689

    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: 2020-08-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200825001477IPhysical Therapist In Private PracticeNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13726$0
97140Therapy procedure using manual technique, each 15 minutes8020$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4012$0
97530Therapy procedure using functional activities2111$0
97535Training for self-care or home management, each 15 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 89447)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628979267View full group profile

Reviews

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Frequently asked questions

How do payers reference MAKENNA PAGE BALACKI (PT, DPT)?
For MAKENNA PAGE BALACKI (PT, DPT), use NPI 1245841055 as the unique 10-digit identifier.
Is MAKENNA PAGE BALACKI (PT, DPT) shown as active in public data?
Registry records indicate MAKENNA PAGE BALACKI (PT, DPT) maintains an active NPI.
What kind of doctor is MAKENNA PAGE BALACKI (PT, DPT)?
MAKENNA PAGE BALACKI (PT, DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MAKENNA PAGE BALACKI (PT, DPT)?
Directory geography for MAKENNA PAGE BALACKI (PT, DPT) centers on Yerington, Nevada.
When was this NPI issued?
Enumeration for MAKENNA PAGE BALACKI (PT, DPT) is noted as August 14, 2020 where the registry provides it.

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