Mackenzie Gaetano, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02029000 Issued in NJ

Practice address

520 Beckett Rd Ste 200
Swedesboro, NJ 08085-1732

Phone

(856) 467-3421

NPI assigned

Aug 13, 2021

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 NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Osprey Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Hammonton, NJ
  • NPI 1659085678

  Physical Therapist

  Medicare reassignment NPD
• Rehabclinics SPT Inc.

  • Physical Therapy Clinic/Center
  • Little Egg Harbor, NJ
  • NPI 1699113688
  Medicare reassignment NPD
• Osprey Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Linwood, NJ
  • NPI 1255064044
  NPD

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1558036376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 EAST AVE",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083223149",
            "telephone_number": "856-676-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BECKETT RD STE 200",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851732",
            "telephone_number": "856-467-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETANO",
        "first_name": "MACKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02029000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firm Foundations Occupational Therapy LLC
• Michael Patrick Flatley, DPM
• Suzanne Christine Foster-Wolfe, LPC, LCADC, NCC, DCC
• Joshua R Freedman, M.D., M.S.
• Full Bloom Counseling LLC
• GD NJ Swedesboro LLC
• GH Ventures Inc
• Anwar Joseph Golden, M. ED.
• Ernestine Green, MFT, LAC
• Sabrina Guidicipietro-Varona, LAC, NCC

• Physical Therapist in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.