MACKENZIE POPP – Physical Therapist, NPI 1396442109

MACKENZIE POPP is a healthcare provider. based in Redmond, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for MACKENZIE POPP is 1396442109

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MACKENZIE POPP
NPI
1396442109
Phone
(425) 691-6563
Address
27935 NE 26TH ST
Enumeration Date
13 February 2023
Last Update Date
13 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094587686
Graduation Year
2023 (3 years ago)
PAC ID
8628432788
Group Practice PAC ID
1153312343
Professional Enrollment ID
I20230908000899
Address ID
WA992022045SP730XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for MACKENZIE POPP

  • 27935 NE 26TH ST

    REDMOND, WA 980533116

    Phone: (425) 691-6563

    Type: Mailing

  • 1303 W SUMMIT PKWY LOWR LEVEL1

    SPOKANE, WA 992017033

    Phone: (509) 579-4300

    Fax: (509) 317-9542

    Type: Location

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: 2023-09-08

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
I20230908000899IPhysical Therapist In Private PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98053)

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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: 1153312343View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How is MACKENZIE POPP identified in CMS data?
CMS-hosted NPPES data lists MACKENZIE POPP with NPI 1396442109.
Is MACKENZIE POPP listed as active for patients and plans?
The listing shows MACKENZIE POPP as active in the NPI system.
What taxonomy line describes MACKENZIE POPP?
For research purposes, treat MACKENZIE POPP as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does MACKENZIE POPP list a practice location?
Patients near Redmond, Washington may find MACKENZIE POPP in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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