Mallory Beth Grant, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 3737 Issued in AR

Practice address

3231 Main St
Suite 3
Bryant, AR 72022-9188

Phone

(501) 847-0500

Fax

(501) 847-0508

NPI assigned

Aug 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mallory Beth Brown Former name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Athletico LTD

  • Clinic/Center
  • Hensley, AR
  • NPI 1003563727

  AR, Physical Therapist

  Medicare reassignment NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1659705663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 MAIN ST",
            "address_2": "SUITE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229188",
            "telephone_number": "501-847-0500",
            "fax_number": "501-847-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 MAIN ST",
            "address_2": "SUITE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229188",
            "telephone_number": "501-847-0500",
            "fax_number": "501-847-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MALLORY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3737",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "PT 3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "BROWN",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Godfrey, MHPP
• Gina Carroll Golden, SLP
• Bridget Nicole Gooden
• Whitney Danielle Gordon
• Aimee Elizabeth Graham, M.S., CCC-SLP
• Kiona Graydon
• Paige Greenwood, OT-A
• Melanie Lynne Griffin, D.C.
• Chelsea Elizabeth Griffith, APRN
• Guided Path Therapies

• All providers in Bryant, AR
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.