Mallory Durnbaugh, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215050 Issued in VA

Practice address

2175 E 11TH St
Loveland, CO 80537-3238

Phone

(970) 593-9300

Fax

(970) 593-9318

NPI assigned

Jun 9, 2022

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

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1376272757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 E 11TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373238",
            "telephone_number": "970-593-9300",
            "fax_number": "970-593-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 E 11TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373238",
            "telephone_number": "970-593-9300",
            "fax_number": "970-593-9318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2117 McComas Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234563908",
            "country_code": "US",
            "telephone_number": "757-427-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURNBAUGH",
        "first_name": "MALLORY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Eira Dunlap, RDN
• Julie A Dunn, MD
• Robert L Dupper, MD
• Zarrar Duraiz, DDS
• Tina Duran
• Jordan Durnil
• Marilyn Jean Durrant, LCSW, CAS, MSW
• Donald Duzenack
• Natasha Dwyer
• Susan Lynn Dwyer, BS RDH

• Physical Therapist in Loveland, CO
• Providers in Loveland, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.