Mallory Loch, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10909 S. Western Avenue
Sports and Ortho
Chicago, IL 60643

Phone

(773) 779-7970

Fax

(773) 779-7969

NPI assigned

Feb 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Be Balanced Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Lombard, IL
  • NPI 1861259798
  NPD Authorized official
• Lifestyle Physical Therapy & Balance Center, PLLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1710917158
  NPD (past)
• Presence Chicago Hospitals Network

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1194404251
  NPD (past)
• Sports and Ortho P.C

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1871640565
  NPD (past)

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1992037584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W. 31ST STREET",
            "address_2": "SPORTS AND ORTHO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "312-225-3119",
            "fax_number": "312-225-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 S. WESTERN AVENUE",
            "address_2": "SPORTS AND ORTHO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-779-7970",
            "fax_number": "773-779-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCH",
        "first_name": "MALLORY",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janina Louise Locascio, PA-C
• Sara Lynn Locascio
• Anne Franke Locatelli, M.D.
• Aubrey Simmons Locey, APRN, CNP
• Danielle Loch, BCBA
• Simon Lochbrunner
• Stephen R Locher, M.D.
• Susan Lochhead, MD
• Bethany Locicero, DPT
• Neena Lock, MA

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.