Mallory Gillespie, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34123 Issued in FL

Practice address

4383 Northlake Blvd Ste 309
Palm Beach Gardens, FL 33410-6253

Phone

(561) 775-4900

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1184193377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-392-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 NORTHLAKE BLVD STE 309",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106253",
            "telephone_number": "561-775-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "MALLORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gibbs, NP
• Hanna Gierman, DPT
• Ashley Atkinson Gil
• Sharon L Gilbert, DMD
• Savannah L Gill
• Chelsea Giorgetti, MS, RMHCI
• Jilian Nichole Gipp
• Joseph Gisondo, PHD
• Kimberly R Giuliani, PHD
• Craig Arthur Glaesner, D.D.S.

• Physical Therapist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.