Mallorie Llanas, MS, LAT, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1570 Issued in SC

Practice address

130 Crisanto Ave Ste B
Fort Mill, SC 29715-6272

Phone

(803) 548-6464

NPI assigned

Aug 1, 2014

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mallorie Easlick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialty Orthopaedics and Sports Medicine, LLC

  dba SpecOrtho

  • Orthopaedic Surgery Physician
  • Fort Mill, SC
  • NPI 1437684453
  NPD
• Advanced Sports & Spine, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Charlotte, NC
  • NPI 1629422738
  NPD (past)

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1487062550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CRISANTO AVE STE B",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297156272",
            "telephone_number": "803-548-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CRISANTO AVE STE B",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297156272",
            "telephone_number": "803-548-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANAS",
        "first_name": "MALLORIE",
        "name_prefix": "Ms.",
        "credential": "MS, LAT, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2634",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORIE",
            "last_name": "EASLICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jane Liotta, MS HSCI
• Barrett Anthony Little, MD
• Megan Little, CF-SLP
• Livingsharp, LLC (Living Sharp Fitness, Nutrition & Wellbeing)
• LL Care Services LLC
• Patricia Lloyd, MSL
• Theresa Lobbestael, DC
• Ronald Newton Locke, MD
• Caroline Grace Loeb, DPT
• Elizabeth Ryan Loflin, APRN

• Athletic Trainer in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.