Mallory M Westbrook, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9084 Issued in TN

Practice address

3575 Keith St NW Ste 205
Cleveland, TN 37312-4326

Phone

(423) 559-0444

Fax

(503) 990-8630

NPI assigned

Sep 21, 2011

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

Other names 1

• Malllory Mountz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1629351119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7568",
            "fax_number": "423-954-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 KEITH ST NW STE 205",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124326",
            "telephone_number": "423-559-0444",
            "fax_number": "503-990-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 Keith St NW Ste 205",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373124326",
            "country_code": "US",
            "telephone_number": "423-559-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "MALLORY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLLORY",
            "last_name": "MOUNTZ",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Ann Wellman, PHARM D
• Eston K. Wenger, MD
• Mindy E Wenger, NP
• Kevin D Werkheiser
• Brandon Kyle West, PA-C
• Barron Wester, LMFT
• Brandon O Whaley
• Mackenzie Paige Whaley
• Michaela Rose Wheat
• Brittney White

• Physical Therapist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.