Mackenzie M Maison, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213893 Issued in VA

Practice address

13575 Heathcote Blvd Ste 250
Gainesville, VA 20155-6693

Phone

(571) 261-9900

Fax

(571) 261-9908

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benchmark Physical Therapy of VA LLCGroup PAC ID 3870893274, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benchmark Physical Therapy of VA, LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1073981114

  VA

  Medicare reassignment Care Compare group NPD
• Progress Rehabilitation Network LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1760434948
  Medicare reassignment NPD
• Benchmark Physical Therapy of VA, LLC

  • Physical Therapist
  • Staunton, VA
  • NPI 1871063925
  NPD
• Progress Rehabilitation Network, LLC

  dba Progress Physical Therapy

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1801915194
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1508472689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR STE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-756-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 HEATHCOTE BLVD STE 250",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556693",
            "telephone_number": "571-261-9900",
            "fax_number": "571-261-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISON",
        "first_name": "MACKENZIE",
        "middle_name": "M",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Maclean
• Meghan Maddock, PHD
• Stephanie Maddox, M.S., BCBA
• Kurt Laurence Maggio, M.D.
• Kevin Maggs, D.C.
• Issa Malador, RN
• Amanda Lynn Malgieri, PA-C
• Samantha Mallek
• Esther Mandelheim
• Margaret H. Harvey, LLC (Blue Ridge Psychological Center)

• Physical Therapist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.