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

Mackenzie M Maison, PTDPT

Individual provider Physical Therapist · NPI 1508472689

Mackenzie M Maison, PTDPT is a Physical Therapist in Private Practice in Gainesville, Virginia. Qualified in 2020, 6 years ago. Practices with Benchmark Physical Therapy of VA LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
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Practice location Address checks out

13575 Heathcote Blvd Ste 250
Gainesville, VA 20155-6693
Phone: (571) 261-9900
Fax: (571) 261-9908
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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 2305213893 (VA)

Record details

NPI number1508472689
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020
Mailing address5300 Hickory Park Dr Ste 110, Glen Allen, VA 23059-2629

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Benchmark Physical Therapy Of Va Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gainesville