Individual provider Active NPI

Mallory Lynn Wood

  • Physical Therapist
  • Novi, MI
National Provider Identifier
1033970686
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303236 Issued in MI
Practice address
39575 W 10 Mile Rd Ste 201
Novi, MI 48375-2949
Phone
(248) 516-7250
Fax
(248) 516-7251
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501303236 MI Primary

Addresses

Primary practice location

39575 W 10 Mile Rd Ste 201
Novi, MI 48375-2949

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730004263 MI Practitioner - Physical Therapist in Private Practice 3870030570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

39575 W 10 Mile Rd
Suite 201
Novi, MI 48375-2949
Phone (248) 516-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 10, 2024 Accepting new patients
Michigan Orthopaedic Surgeons, PLLC Physical Therapist CurrentSince Sep 20, 2024 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 10, 2024 Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

39575 W 10 Mile Rd
Ste 201
Novi, MI 48375
Phone (248) 516-7250

32924 Woodward Ave
Royal Oak, MI 48073

3601 W 13 Mile Rd
Royal Oak, MI 48073

32924 Woodward Ave
Royal Oak, MI 48073
Phone (248) 554-9201

30575 Woodward Ave
Ste 210
Royal Oak, MI 48073
Phone (248) 280-8561

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1033970686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39575 W 10 MILE RD STE 201",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752949",
            "telephone_number": "248-516-7250",
            "fax_number": "248-516-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MALLORY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.