Mallory G Berberich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

801 Auburn Way N Ste E
Auburn, WA 98002-4164

Phone

(253) 736-2340

Fax

(253) 736-2343

NPI assigned

Aug 12, 2016

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mallory G McGowan Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Management Services, PLLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1710330378
  Medicare reassignment Care Compare group NPD
• Therapy Management Services, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Puyallup, WA
  • NPI 1225255318

  Physical Therapist

  NPD
• Therapy Management Services, PLLC

  dba University Place Physical Therapy

  • Physical Therapist
  • University Place, WA
  • NPI 1295207983
  NPD
• Therapy Management Services, PLLC

  • Physical Therapy Clinic/Center
  • Burien, WA
  • NPI 1780037689

  Physical Therapist

  NPD (past)
• The Physical Therapy Clinics, Inc.

  dba Performance Physical Therapy, Aquatic & Hand Rehabilitation

  • Physical Therapist
  • Rancho Cordova, CA
  • NPI 1033136726
  NPD (past)

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1174077663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "916-858-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 AUBURN WAY N STE E",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024164",
            "telephone_number": "253-736-2340",
            "fax_number": "253-736-2343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10390 Coloma Rd",
            "address_2": "Ste 7",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956702152",
            "country_code": "US",
            "telephone_number": "916-858-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERBERICH",
        "first_name": "MALLORY",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT291643",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "MCGOWAN",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Fisk Bennett
• Jessica May Bennett, M.A.
• Kelly Benshoof, RN
• Laurel Benz, LIACSW
• Christina Maria Beran, PA-C
• Aleah Beres
• Matthew Berg, PHARMD
• Jake Bergstrom, MD
• Ellen Bermudez, RN
• Amberly Bernal

• Physical Therapist in Auburn, WA
• Providers in Auburn, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.