Active NPI
Nicole Mallon, LMT
- Massage Therapist
- Batesburg Leesville, SC
National Provider Identifier
1497632020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13526
- Practice address
- 3886 Double Bridges Rd
Batesburg Leesville, SC 29006-8642 - Phone
- (508) 838-1422
- NPI assigned
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13526 | SC | Primary |
Addresses
Primary practice location
3886 Double Bridges Rd
Batesburg Leesville, SC 29006-8642
Mailing address
3886 Double Bridges Rd
Batesburg Leesville, SC 29006-8642
Phone (508) 838-1422
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 |
|---|---|---|---|
| 13526 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1497632020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3886 DOUBLE BRIDGES RD",
"city": "BATESBURG LEESVILLE",
"state": "SC",
"postal_code": "290068642",
"telephone_number": "508-838-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3886 DOUBLE BRIDGES RD",
"city": "BATESBURG LEESVILLE",
"state": "SC",
"postal_code": "290068642",
"telephone_number": "508-838-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLON",
"first_name": "NICOLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "13526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batesburg Leesville, SC
- Lexington County School Distric Three
- Lexington Health Inc
- Lexington Health Inc
- Jill Mount Longshore, LISW-CP
- Mainstreet and Kidsstreet of South Carolina LLC
- Veronda Janelle McIver
- Amber Anderson Miller, MSN, APRN, NP-C
- Lauren Rudd Nates, MSN, APRN, NP-C
- Mary Abercrombie Oswald, NP
- Constance Lorraine Parson, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.