Active NPI
Sarah Elaine Mallahan, DPT
- Physical Therapist
- Osage Beach, MO
National Provider Identifier
1295509990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2023045192
- Practice address
- 1029 Nichols Rd Ste a
Osage Beach, MO 65065-3702 - Phone
- (573) 302-2860
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2023045192 | MO | Primary |
Addresses
Primary practice location
1029 Nichols Rd Ste a
Osage Beach, MO 65065-3702
Mailing address
9436 State Hwy a
Montreal, MO 65591
Phone (573) 480-9314
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 |
|---|---|---|---|
| 2023045192 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1295509990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9436 STATE HWY A",
"city": "MONTREAL",
"state": "MO",
"postal_code": "65591",
"telephone_number": "573-480-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 NICHOLS RD STE A",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653702",
"telephone_number": "573-302-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLAHAN",
"first_name": "SARAH",
"middle_name": "ELAINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2023045192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.