Active NPIIndividual provider

Mackenzie Beaudoin, DPT

Physical Therapist in South Portland, Maine

NPI Number1629866942
Practice location
525 Main St Ste C, South Portland, ME 04106-5463
Fax
—
Last updated
April 28, 2025

Mackenzie Beaudoin is a Physical Therapist based in South Portland, ME. Mackenzie Beaudoin practices in South Portland, ME and has the professional credentials of DPT. The NPI Number for Mackenzie Beaudoin is 1629866942 and holds a License No. PT6940 (ME). The current practice location address for Mackenzie Beaudoin is 525 Main St Ste C, South Portland, ME 04106-5463 and can be reached out via phone at 207-274-6245.

Provider Profile Details

NPI Number
1629866942
Provider Name
Mackenzie Beaudoin
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
525 Main St Ste C, South Portland, ME 04106-5463
Phone Number
207-274-6245
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2025
Last Update Date
April 28, 2025
Certification Date
April 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Main St Ste C
South Portland, ME 04106-5463
State
Maine
Zip
04106-5463
Phone Number
207-274-6245
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
190 Pleasant St
Brunswick, ME 04011-2213
City
Brunswick
State
ME
Zip
04011-2213
Phone Number
207-550-2077

License Information

License Number
PT6940
License State
ME
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mackenzie Beaudoin, DPT?

The NPI number of Mackenzie Beaudoin, DPT is 1629866942. It was assigned on April 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Mackenzie Beaudoin, DPT?

Mackenzie Beaudoin, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT6940.

Where does Mackenzie Beaudoin, DPT practice?

The practice location is 525 Main St Ste C, South Portland, ME 04106-5463. The office can be reached at 207-274-6245 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629866942 directly on the NPPES registry website.

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