Mackenzie Gaetano, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215849 Issued in VA

Practice address

812 E Church St
Martinsville, VA 24112-3109

Phone

(276) 638-4809

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1982192175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E CHURCH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123109",
            "telephone_number": "240-561-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E CHURCH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123109",
            "telephone_number": "276-638-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETANO",
        "first_name": "MACKENZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Fulcher, COTA/L
• Susan Fullerton, SPEECH LANGUAGE PATH
• G a Stermer Jr., DDS LLC
• G.a.P.S. Healthcare PLLC
• Holly Ann Gaeta, PHARMD
• Richard Scott Galos, M.D.
• Makayla Smithers Galyon, M.A., CCC-SLP
• Whitney Anne Garcia-Mata, MS BCBA LBA
• Nicola Ann Garcia, M.D.
• Karen W Garrett, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.