Mall

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MALL

Practice address

4801 Hargrove Rd Ste 100
Raleigh, NC 27616-1949

Phone

(919) 791-6260

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Marc DouekNPI 1396922274

Title

Owner

Phone

(919) 327-7697

Specialties & licenses 1

Addresses

Other names 1

• BEST Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Douek

  • Physical Therapist
  • Raleigh, NC
  • NPI 1396922274
  NPD Authorized official

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1184449589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 CANTERBURY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 HARGROVE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161949",
            "telephone_number": "919-791-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "DOUEK",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-327-7697"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEST Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malek & Knight DDS PA VIII
• Malek & Knight DDS PA-Iil
• Katelin Maley, FNP
• Jonathan A Malin, MD
• Lana Malki
• Mitchell Shane Mallard, LMHC-S
• Harold O Mallette, BS, CSAC
• Iesha L Mallette, NP
• Jasmine Mallison, CRNA
• Melony Lee Malloy, PMHNP-BC

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.