Individual provider Active NPI

Mallory L Armstrong, DPT

  • Orthopedic Physical Therapist
  • Lincoln, NE
National Provider Identifier
1205285251
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3560 Issued in NE
Practice address
6900 A St Ste 102
Lincoln, NE 68510-4120
Phone
(402) 436-2535
NPI assigned
Jun 10, 2016
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3560 NE Primary

Addresses

Primary practice location

6900 A St Ste 102
Lincoln, NE 68510-4120

Mailing address

1651 N 86TH St Ste 100
Lincoln, NE 68505-3719
Phone (402) 484-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713000139 NE Practitioner - Physical Therapist in Private Practice 4082906904 Reassigns benefits to 1 organization

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)

1001 S 70TH St
Suite 200
Lincoln, NE 68510-7901
Phone (402) 436-2535

1651 N 86TH St
Suite 100
Lincoln, NE 68505-3719
Phone (402) 484-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3560NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Orthopedic Physical Therapy PC Orthopedic CurrentSince Jun 13, 2016 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Orthopedic CurrentSince Jun 13, 2016 Accepting new patients

Locations

1001 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2535

1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117

4920 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 434-5361

6900 A St
Ste 102
Lincoln, NE 68510
Phone (402) 436-2535

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

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1205285251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N 86TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053719",
            "telephone_number": "402-484-7117",
            "fax_number": "402-484-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 A ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104120",
            "telephone_number": "402-436-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "MALLORY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "3560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.