MEDICARE: DR. MACKENZIE BURK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer
2	2251P0200X	Pediatric Physical Therapist	PTL.0017790	CO

General Provider Information

NPI Number	:	1972004885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MACKENZIE BURK

Provider Business Mailing Address
First Line	:	14651 DALLAS PKWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-8856
Country	:	US
Telephone Number	:	952-715-1875
Fax Number	:

Provider Business Practice Location Address
First Line	:	13132 E 101ST PL
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-9144
Country	:	US
Telephone Number	:	952-715-1875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	08/26/2022

Similar Medicare Providers

1366869547 — LIVING AT HOME LLC
Practice Location Address:

13610 N MENNONITE RD
GARDEN CITY, KS
67846-9144

Practice Phone: 620-271-8674
Practice Fax:

1871971275 — BUTTE THERAPY SYSTEMS
Practice Location Address:

1695 SIERRA AVE STE A
YUBA CITY, CA
95993-9144

Practice Phone: 530-671-5144
Practice Fax:

1124534789 — DEBRA MARTINEZ
Practice Location Address:

151 WAGNER RD
BAY CITY, MI
48708-9144

Practice Phone: 734-695-9524
Practice Fax:

1497595870 — MARY WHITING
Practice Location Address:

294 CALL RD
CROWN CITY, OH
45623-9144

Practice Phone: 740-479-8500
Practice Fax:

1194650614 — KARA MESCIA
Practice Location Address:

12303 E 104TH PL UNIT 105
COMMERCE CITY, CO
80022-2098

Practice Phone: 720-617-1574
Practice Fax:

1245166107 — ISAAC ROBERTO ESPINOZA LOPEZ
Practice Location Address:

10975 VAUGHN ST
COMMERCE CITY, CO
80022-6265

Practice Phone: 720-470-3678
Practice Fax:

Directions to “ DR. MACKENZIE BURK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.