Individual provider Active NPI

Mallorie O'Brien

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1851998090
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020393 Issued in CO
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

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231101002440 NY Practitioner - Physical Therapist in Private Practice 4284047952
I20240415002952 SC Practitioner - Physical Therapist in Private Practice 4284047952 Reassigns benefits to 1 organization
I20260410003909 CO Practitioner - Physical Therapist in Private Practice 4284047952 Reassigns benefits to 1 organization

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
Colorado Health and Rehab LLCGroup PAC ID 4688999055, 21 clinicians

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

LicenseStateTypeSpecialty
051239NYMDPharmacist
0020393COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2024 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.

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.

Verify at the official NPI Registry.