Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Grillo, DPT

Individual provider Physical Therapist · NPI 1851950455

Mackenzie Grillo, DPT is a Physical Therapist in Private Practice in Vineland, New Jersey. Qualified in 2022, 4 years ago. Practices with Integrative Physical Therapy of Nyc, PC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1940 S West Blvd Bldg A
Vineland, NJ 08360-7024
Phone: (856) 690-9977
Fax: (856) 507-9918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01900400 (NJ)

Record details

NPI number1851950455
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESNovember 13, 2019
Mailing address1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Integrative Physical Therapy Of Nyc, P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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