Mallori Cantrell, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018030 Issued in GA

Practice address

4640 Martin Rd
Cumming, GA 30041-5542

Phone

(678) 679-1261

Fax

(678) 250-9010

NPI assigned

Sep 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Essential Therapy Services, Inc.

  • Occupational Therapist
  • Cumming, GA
  • NPI 1508077991

  Multi-Specialty

  NPD
• Essential Therapy Services

  • Occupational Therapist
  • Cumming, GA
  • NPI 1043529373

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1083586184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 MARTIN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415542",
            "telephone_number": "678-679-1261",
            "fax_number": "678-250-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 MARTIN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415542",
            "telephone_number": "678-679-1261",
            "fax_number": "678-250-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "MALLORI",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua C Canavan, PHARM D
• Kaylena Blaise Cancro
• Canton Road Urgent Care LLC
• Amber Jean Cantrell, MS, OTR/L
• Haley Fain Cantrell, OTR/L
• Patricia Joan Caprara, LPC
• Cardinal Counseling LLC
• Care About You LLC
• Care Place Inc
• Carebridge Companionship LLC

• Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.