Active NPI
Mallory Pilcher King, DPT
- Physical Therapist
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012431
- Practice address
- 3051 Watson Blvd Ste 400
Warner Robins, GA 31093-8556 - Phone
- (478) 971-2273
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012431 | GA | Primary |
Addresses
Primary practice location
3051 Watson Blvd Ste 400
Warner Robins, GA 31093-8556
Mailing address
3051 Watson Blvd Ste 400
Warner Robins, GA 31093-8556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3051 Watson Blvd
Warner Robins, GA 31093-8556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012431 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Orthopedic Surgery & Sports Medicine, P.C. | Current | Accepting new patients | |
| Houston Orthopedic Surgery & Sports Medicine, P.C. | Current | Accepting new patients |
Locations
1013 Main St
Perry, GA 31069
Phone (478) 953-4563
3051 Watson Blvd
Ste 525
Warner Robins, GA 31093
Phone (478) 953-4563
3051 Watson Blvd
Ste 400
Warner Robins, GA 31093
Phone (478) 953-4563
3051 Watson Blvd
Warner Robins, GA 31093
Phone (478) 953-4563
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Warner Robins, GA
- NPI 1205866605
-
- Durable Medical Equipment & Medical Supplies
- Perry, GA
- NPI 1134563042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1124571773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 WATSON BLVD STE 400",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310938556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 WATSON BLVD STE 400",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310938556",
"telephone_number": "478-971-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MALLORY",
"middle_name": "PILCHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.