Active NPI
Mallorie O'Brien
- Physical Therapist
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0020393
- Practice address
- 7777 W 38TH Ave Unit A124
Wheat Ridge, CO 80033-6170 - Phone
- (303) 940-0757
- NPI assigned
- Oct 1, 2020
- 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 | 051239 | NY | |
| Physical Therapist | 225100000X | 0020393 | CO | Primary |
Addresses
Primary practice location
7777 W 38TH Ave Unit A124
Wheat Ridge, CO 80033-6170
Mailing address
7777 W 38TH Ave Unit A124
Wheat Ridge, CO 80033-6170
Phone (303) 940-0757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC, CO
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Fontaine Blvd
Strive Physical Therapy FNT
Colorado Springs, CO 80911-2110
Phone (719) 358-8885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051239 | NY | MD | Pharmacist |
| 0020393 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
Locations
64 Bluffton Rd
Bluffton, SC 29910
Phone (843) 681-2376
815 Highway 378
Lexington, SC 29072
Phone (803) 359-5533
1510 Ribaut Rd
Port Royal, SC 29935
Phone (843) 524-3241
Organizations & group practices 3
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
- Colorado Springs, CO
- NPI 1336542125
-
- Physical Therapist
- Port Royal, SC
- NPI 1376379818
-
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1851998090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 W 38TH AVE UNIT A124",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336170",
"telephone_number": "303-940-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 W 38TH AVE UNIT A124",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336170",
"telephone_number": "303-940-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "MALLORIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051239",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0020393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.