Active NPI
Gillian Mackey, PT, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1205657251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215110
- Practice address
- 2021 Concert Dr
Virginia Beach, VA 23456-8082 - Phone
- (757) 668-2754
- NPI assigned
- Oct 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305215110 | VA | Primary |
Addresses
Primary practice location
2021 Concert Dr
Virginia Beach, VA 23456-8082
Mailing address
1104 Courage CT
Virginia Beach, VA 23451-5593
Phone (804) 441-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305215110 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1205657251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 COURAGE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234515593",
"telephone_number": "804-441-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 CONCERT DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234568082",
"telephone_number": "757-668-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "GILLIAN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.