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

Mr. Gary Shane Zaccagnini, PTA

Individual provider Physical Therapy Assistant · NPI 1427793165

Mr. Gary Shane Zaccagnini, PTA is a Physical Therapy Assistant in Saint George, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

5502 Memorial Blvd Unit 2
Saint George, SC 29477-2286
Phone: (843) 638-5122
Fax: (843) 638-5126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2139 (SC)

Record details

NPI number1427793165
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

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