Mackenzie Gaetano, DPT
NPI 1558036376ActiveIndividual· Physical Therapist· Swedesboro, NJ
Physical Therapist (DPT) in Swedesboro, New Jersey, licensed in NJ, with an NPI issued in August 2021. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1558036376 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 13, 2021 |
| Last updated in NPPES | Dec 27, 2023 |
| Certified by provider | Dec 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA02029000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NJ) |
|---|
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