Mallory Ann King, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1348807 Issued in TX

Practice address

1643 Lancaster Dr Ste 100
Grapevine, TX 76051-3593

Phone

(817) 329-2524

NPI assigned

Aug 10, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901
  NPD (past)
• Dallas Nephrology Associates

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1053634030
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1407521776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 HILLWOOD WAY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212531",
            "telephone_number": "817-975-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-329-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MALLORY",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1348807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kim
• Kimberly S. Marshall, M.D., P.a.
• Kimberly Salinas Marshall MD, PA
• Ronald G Kimmel, FNP-C
• April Kindle
• Stephanie Christine King, DPT
• Janet Kinney, M.D
• Adrin Maria Kirk
• Caroline Kirkpatrick, DC
• Stacey Kirkpatrick, RD

• Physical Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.