Mallory Mahoney, DPT, PT
Individual provider Active NPI Physical Therapist · Overland Park, KS
NPI 1457765430 · NPPES record last updated Jun 17, 2014
Key facts
- NPI
- 1457765430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1104895 (KS)
- Practice address
- 7381 W 133Rd St
Suite 302
Overland Park, KS 66213-4750 - Phone
- (913) 904-1128
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104895 | KS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1104895 | KS | Yes |
Addresses
Primary practice location
7381 W 133Rd St
Suite 302
Overland Park, KS 66213-4750
Mailing address
7381 W 133Rd St
Suite 302
Overland Park, KS 66213-4750
Phone (913) 904-1128
Other providers in Overland Park, KS
- Faye Clare Maher Jurado
- Rola A Mahmoud
- Diane Mahoney
- Heather Mahoney
- Jenalee Marie Mahoney
- Molly Mahoney
- Sam L Mahoney
- Mahoneys Compounding Pharmacy LLC
- Andrew D Maier
- Courtney L Main
All providers in Overland Park, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.