Active NPIIndividual provider

Mackenzie Grillo, DPT

Physical Therapist in Vineland, New Jersey

NPI Number1851950455
Practice location
1940 S West Blvd Bldg A, Vineland, NJ 08360-7024
Fax
856-507-9918
Last updated
November 13, 2019

Mackenzie Grillo is a Physical Therapist based in Vineland, NJ. Mackenzie Grillo practices in Vineland, NJ and has the professional credentials of DPT. The NPI Number for Mackenzie Grillo is 1851950455 and holds a License No. 40QA01900400 (NJ). The current practice location address for Mackenzie Grillo is 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 and can be reached out via phone at 856-690-9977 and via fax at 856-507-9918.

Provider Profile Details

NPI Number
1851950455
Provider Name
Mackenzie Grillo
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
1940 S West Blvd Bldg A, Vineland, NJ 08360-7024
Phone Number
856-690-9977
Fax Number
856-507-9918
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2019
Last Update Date
November 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1940 S West Blvd Bldg A
Vineland, NJ 08360-7024
Zip
08360-7024
Phone Number
856-690-9977
Fax Number
856-507-9918
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
City
Islandia
State
NY
Zip
11749-5258
Phone Number
631-580-5200
Fax Number
631-580-5222

License Information

License Number
40QA01900400
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mackenzie Grillo, DPT?

The NPI number of Mackenzie Grillo, DPT is 1851950455. It was assigned on June 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Mackenzie Grillo, DPT?

Mackenzie Grillo, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01900400.

Where does Mackenzie Grillo, DPT practice?

The practice location is 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024. The office can be reached at 856-690-9977 (phone) or 856-507-9918 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851950455 directly on the NPPES registry website.

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