MR. JARED CLARK MALLORY (NPI# 1679896534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679896534 |
| Entity Type | Individual |
| Full Name | MR. JARED CLARK MALLORY |
| Credential | P.T. |
| Practice Address |
3398 25th Street Port Arthur TX 77642 |
| Practice Telephone | 4099859365 |
| Practice Fax Number | 4099856315 |
| Mailing Telephone | 4099859365 |
| Mailing Fax Number | 4099856315 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1137768 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225400000X | Rehabilitation Practitioner | 1137768 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3398 25TH STREET |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| 1295939973 | Chalita La Shon Roberts | Physical Therapy Assistant | 7200 9th Avenue, Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1336367846 | Mark Alexander Culver | Physical Therapist | 6767 9th Ave, Port Arthur, TX 77642-6414 | 2007-04-22 |
| 1609499730 | Maria Teresa Signey | Physical Therapist | 8801 9th Ave, Port Arthur, TX 77642-8013 | 2020-05-22 |
| 1689138208 | Kahirup Calimlin Habana | Physical Therapist | 5957 9th Ave, Port Arthur, TX 77642-6204 | 2019-01-28 |
| 1437687258 | Therese Jones | Physical Therapist | 5957 9th Ave, Port Arthur, TX 77642-6204 | 2017-05-24 |
| 1245687656 | Gerardo Octavio Ruiz | Physical Therapist | 6767 9th Ave, Port Arthur, TX 77642-6414 | 2016-05-16 |
| 1003224072 | Crystal Smith | Physical Therapist | 6767 9th Ave, Port Arthur, TX 77642-6414 | 2014-07-23 |
| 1043621915 | Dustin Kyle Craver | Physical Therapist | 5957 9th Ave, Port Arthur, TX 77642-6204 | 2014-05-14 |
| 1740617182 | Mason Joseph English | Physical Therapist | 6767 9th Ave, Port Arthur, TX 77642-6414 | 2013-09-30 |
| 1831524305 | Melanie Loski | Physical Therapist | 6767 9th Ave, Port Arthur, TX 77642-6414 | 2013-09-03 |
| 1750621090 | Danielle Juanita Files | Physical Therapist | 6767 9th Ave, Port Arthur, TX 77642-6414 | 2013-02-24 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
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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.