MAKENNA NICOLE ENSLIN (DPT) – Physical Therapist, NPI 1710669304

MAKENNA NICOLE ENSLIN (DPT) is a healthcare provider. based in South abington township, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT031476 (PA). The NPI Number for MAKENNA NICOLE ENSLIN (DPT) is 1710669304

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MAKENNA NICOLE ENSLIN (DPT)
NPI
1710669304
Phone
(570) 319-6903
Address
239 NORTHERN BLVD STE 5
Enumeration Date
2 August 2023
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5703196903
Graduation Year
2023 (3 years ago)
PAC ID
7416301148
Group Practice PAC ID
1557501228
Professional Enrollment ID
I20230928001038
Address ID
PA184119302SO239XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,253 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for MAKENNA NICOLE ENSLIN (DPT)

  • 239 NORTHERN BLVD STE 5

    SOUTH ABINGTON TOWNSHIP, PA 184119302

    Phone: (570) 319-6903

    Mailing address matches the actual address.

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: 2023-09-28

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
I20230928001038IPhysical Therapist In Private PracticePATBD

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
97140Therapy procedure using manual technique, each 15 minutes8615$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6614$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6015$0
View full utilization report →

Insurance plans in this area (ZIP 18411)

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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: 1557501228View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNJ
-PA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Can I verify MAKENNA NICOLE ENSLIN (DPT) with an NPI only?
You can start verification with NPI 1710669304 for MAKENNA NICOLE ENSLIN (DPT), then check state licensing separately.
Does CMS list MAKENNA NICOLE ENSLIN (DPT) as active?
Yes — MAKENNA NICOLE ENSLIN (DPT) is active in the NPI listing used on this page.
What is MAKENNA NICOLE ENSLIN (DPT)'s primary classification?
Physical Therapist is the headline specialty for MAKENNA NICOLE ENSLIN (DPT) here. Clinical services aligned with this taxonomy classification.
Does MAKENNA NICOLE ENSLIN (DPT) list a practice location?
Patients near South Abington Township, Pennsylvania may find MAKENNA NICOLE ENSLIN (DPT) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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