Active NPI
Barbara Mallard
- Physical Therapist
- Fremont, CA
National Provider Identifier
1811601347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT308160
- Practice address
- 2500 Country Dr
Fremont, CA 94536-5356 - Phone
- (510) 792-4242
- NPI assigned
- Jan 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1753 | MA | |
| Physical Therapist | 225100000X | PT308160 | CA | Primary |
Addresses
Primary practice location
2500 Country Dr
Fremont, CA 94536-5356
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other practice location 1
391 Common St
Dedham, MA 02026-4055
Phone (877) 407-3422
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1753 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| PT308160 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1811601347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CARNEGIE PLZ",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031000",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 COUNTRY DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365356",
"telephone_number": "510-792-4242"
}
],
"practiceLocations": [
{
"address_1": "391 Common St",
"address_purpose": "LOCATION",
"city": "Dedham",
"state": "MA",
"postal_code": "020264055",
"country_code": "US",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLARD",
"first_name": "BARBARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "1753",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT308160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.