Active NPI
Mallory Walker, AU.D.
- Audiologist
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003391
- Practice address
- 53-59 Public SQ Ste 202
Watertown, NY 13601-2674 - Phone
- (315) 786-3225
- NPI assigned
- Jul 10, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 003391 | NY | Primary |
Addresses
Primary practice location
53-59 Public SQ Ste 202
Watertown, NY 13601-2674
Mailing address
25810 Contessa LN
Watertown, NY 13601-5890
Phone (315) 786-3225
Other practice location 1
26000 US Route 11
Evans Mills, NY 13637-3320
Phone (315) 755-1600
Other practice location 2
544 Towne Dr
Fayetteville, NY 13066-1331
Phone (315) 637-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
25810 Contessa LN
Watertown, NY 13601-5890
7220 Hidden Meadow LN
Harrisburg, PA 17112-8720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Audiology and Physical Therapy, PLLC | Audiologist | Current | Accepting new patients |
| Watertown Audiology PC | Current | Accepting new patients |
Locations
544 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-8800
53-59 Public Sq
Ste 202
Watertown, NY 13601
Phone (315) 786-3225
Organizations & group practices 2
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.
-
- Physical Therapist
- Watertown, NY
- NPI 1376048652
Audiologist
-
- Audiologist-Hearing Aid Fitter
- Watertown, NY
- NPI 1730370974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1699694174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25810 CONTESSA LN",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015890",
"telephone_number": "315-786-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53-59 PUBLIC SQ STE 202",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012674",
"telephone_number": "315-786-3225"
}
],
"practiceLocations": [
{
"address_1": "26000 US Route 11",
"address_purpose": "LOCATION",
"city": "Evans Mills",
"state": "NY",
"postal_code": "136373320",
"country_code": "US",
"telephone_number": "315-755-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "544 Towne Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NY",
"postal_code": "130661331",
"country_code": "US",
"telephone_number": "315-637-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "MALLORY",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-10",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "003391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.