Jared Clark Mallory, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1137768 Issued in TX

Practice address

3398 25TH Street
Port Arthur, TX 77642

Phone

(409) 985-9365

Fax

(409) 985-6315

NPI assigned

Mar 8, 2010

Last updated

Mar 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Coral Gables, FL
  • NPI 1871972653
  NPD
• South County Physical Therapy & Rehabilitation Center, Inc.

  dba South County Physical Therapy Inc.

  • Physical Therapist
  • Port Arthur, TX
  • NPI 1881871861
  NPD (past)
• N.B.P.T., Inc.

  dba North Beach Physical Therapy

  • Physical Therapy Clinic/Center
  • Miami Beach, FL
  • NPI 1063472702

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1679896534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 25TH STREET",
            "city": "PORT ARTHUR,",
            "state": "TX",
            "postal_code": "77642",
            "telephone_number": "409-985-9365",
            "fax_number": "409-985-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3398 25TH STREET",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77642",
            "telephone_number": "409-985-9365",
            "fax_number": "409-985-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "JARED",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1137768",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "TX",
            "license": "1137768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Loski, P.T., D.PT
• Monica Kathleen Loverdi, FNP
• Luxottica Retail North America Inc (Sears Optical #C0174)
• Nicole Lee Maccallum, LPC
• Pooja Madan, DDS
• Arnold O Manske, MD
• Brooke Ann Manuel, FNP
• Rene Soan Manuel, P.T.
• Margaret Lang-Williams, MD PA
• Marian Tan Medical Group LTD LLP (The Childrens Health Center)

• Physical Therapist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.