MALLORY L MARTIN (NPI# 1295207132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295207132 |
| Entity Type | Individual |
| Full Name | MALLORY L MARTIN |
| Credential | PTA |
| Practice Address |
2300 S Oak Grove Rd Ennis TX 75119-6841 |
| Mailing Address |
201 Janis Ln Waxahachie TX 75165-6061 |
| Practice Telephone | 9728758643 |
| Mailing Telephone | 9729214883 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 4059062 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154787 | Mallory B Martin | Registered Nurse | 2417 Nw 174th St, Edmond, OK 73012-7108 | 2019-10-03 |
| 1619372018 | Mallory Martin | Behavior Technician | 2624 Hough Rd, Florence, AL 35630-1747 | 2014-10-28 |
| 1720374861 | Mallory Bishop Martin | Speech-Language Pathologist | 2424 Double Churches Rd, Columbus, GA 31909-2741 | 2011-06-28 |
| Street Address |
2300 S OAK GROVE RD |
| City | ENNIS |
| State | TX |
| Zip Code | 75119-6841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598751166 | Independent Order of Odd Fellows Grand Lodge 100f of Texas | Nursing Facility/Intermediate Care Facility | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2005-09-20 |
| 1538624507 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2019-02-04 |
| 1689144594 | Angela Kellam | Physical Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-12-04 |
| 1851872519 | Trissha Belle Balangue Bautista | Occupational Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-08-22 |
| 1801377510 | Linda Carol Mach | Occupational Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-08-22 |
| 1558841338 | Stephanie Lee Humann | Occupational Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-08-21 |
| 1013497767 | Sherri Lynn Berry | Occupational Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-08-21 |
| 1538489513 | Harichandra Vennelakanti | Physical Therapist | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2010-06-02 |
| 1396972337 | Gerald Noterman | Physical Therapist | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1265710909 | Traditions Health Care of Ennis, LLC | Home Health | 109 Southwest Main Street, Suite A, Ennis, TX 75119 | 2011-07-29 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| Find all providers in zip 75119 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257285 | Courtney Camille Nash | Physical Therapy Assistant | 205 Old Elm, Ennis, TX 75119-0108 | 2018-12-20 |
| 1750862777 | Rebecca Jane Gillentine | Physical Therapy Assistant | 316 Slovak Rd, Ennis, TX 75119-7275 | 2018-08-27 |
| 1689144594 | Angela Kellam | Physical Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-12-04 |
| 1740677657 | Rebecca Sue King | Physical Therapy Assistant | 2201 W Lampasas St, Ennis, TX 75119-5644 | 2015-04-17 |
| 1376799148 | Melissa Townsend | Physical Therapy Assistant | 1107 S Clay St, Ennis, TX 75119-6414 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
| 1801496740 | Iulia Brodsky | Physical Therapy Assistant | 4047 Mt Everest Way, Katy, TX 77449-0140 | 2020-10-29 |
| 1487254363 | Richard Joseph Radomski | Physical Therapy Assistant | 12000 Sawmill Rd Apt 607, Spring, TX 77380-2103 | 2020-10-29 |
| 1063012193 | Tiffany Monique Johnson | Physical Therapy Assistant | 19138 Us Highway 281 N Ste 200, San Antonio, TX 78258-4988 | 2020-10-28 |
| 1245830520 | Anthony Aghaji Felix | Physical Therapy Assistant | 13978 Maximos Dr, Houston, TX 77083-8044 | 2020-10-27 |
| 1013516954 | Laurence Oliver Parker | Physical Therapy Assistant | 7655 Park North Dr Apt 806, Beaumont, TX 77708-2413 | 2020-10-21 |
| 1992303309 | Gamaelle Colas | Physical Therapy Assistant | 2602 White Bluff Ln, Houston, TX 77038-2729 | 2020-10-16 |
| 1811595309 | Marisol Munoz | Physical Therapy Assistant | 5532 Dennis Cavin Ln, El Paso, TX 79934-3281 | 2020-10-15 |
| 1922606862 | Alena Bolshakova | Physical Therapy Assistant | 3120 Sun Drenched Path, Austin, TX 78732-1950 | 2020-10-13 |
| 1245838572 | Ashlee Lynn Bonner | Physical Therapy Assistant | 16601 S Quail Rd, Odessa, TX 79766-1368 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.