Active NPI
Mallory Naff, DPT
- Physical Therapist
- Humboldt, KS
National Provider Identifier
1235538372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-04925
- Practice address
- 1441 Florida Rd
Humboldt, KS 66748-2229 - Phone
- (620) 433-0459
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 11-04925 | KS | Primary |
Addresses
Primary practice location
1441 Florida Rd
Humboldt, KS 66748-2229
Mailing address
1441 Florida Rd
Humboldt, KS 66748-2229
Phone (620) 433-9898
Other names 1
- Mallory Mueller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04925 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Strength, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Chanute, KS
- NPI 1902513443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1235538372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 FLORIDA RD",
"city": "HUMBOLDT",
"state": "KS",
"postal_code": "667482229",
"telephone_number": "620-433-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 FLORIDA RD",
"city": "HUMBOLDT",
"state": "KS",
"postal_code": "667482229",
"telephone_number": "620-433-0459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAFF",
"first_name": "MALLORY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALLORY",
"last_name": "MUELLER",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Humboldt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.