Kelly Mallory (NPI# 1598943599, PAC ID# 6305920703) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1598943599 |
PAC ID by PECOS | 6305920703 |
Professional Enrollment ID | I20120406000235 |
Full Name | Kelly Mallory |
Organization Legal Name | BACK IN MOTION PHYSICAL THERAPY, LLC |
Address |
1041 Brighton Ave Portland ME 04102-1042 |
Phone Number | 2076994111 |
Gender | F |
Graduation Year | 2007 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 7416926704 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1041 Brighton Ave, Portland, ME 04102-1042 | 2076994111 | BACK IN MOTION PHYSICAL THERAPY, LLC |
185 Ocean St, South Portland, ME 04106-3623 | 2077998226 | BACK IN MOTION PHYSICAL THERAPY, LLC |
Organization Legal Name | BACK IN MOTION PHYSICAL THERAPY, LLC |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexandra Tracy | Physical Therapy | Back In Motion Physical Therapy, LLC | 94 Main St, Gorham, ME 04038-1340 |
Edward S Greeley, II | Physical Therapy | Back In Motion Physical Therapy, LLC | 94 Main St, Gorham, ME 04038-1340 |
Michel G Brunet | Physical Therapy | Back In Motion Physical Therapy, LLC | 94 Main St, Gorham, ME 04038-1340 |
Kristin M Okelly | Physical Therapy | Back In Motion Physical Therapy, LLC | 94 Main St, Gorham, ME 04038-1340 |
Haylee A Graves | Physical Therapy | Back In Motion Physical Therapy, LLC | 94 Main St, Gorham, ME 04038-1340 |
Kirsten L Bombardier | Physical Therapy | Back In Motion Physical Therapy, LLC | 94 Main St, Gorham, ME 04038-1340 |
Daniel R Clark | Physical Therapy | Back In Motion Physical Therapy, LLC | 94 Main St, Gorham, ME 04038-1340 |
Street Address |
1041 BRIGHTON AVE |
City | PORTLAND |
State | ME |
Zip | 04102-1042 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brianna Mcelligott | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
Kevin T Baker | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
Hannah Peabody | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
Branden George | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
Paul M Brown | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
Casey S Estes | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cecily S Whiting | Emergency Medicine | Mainehealth | 335 Brighton Ave, Portland, ME 04102-0600 |
Leah Diane Grotton | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
Alexandra Rae Grotton | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
Peter E Hall | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
Jane D Mcnally | Hospitalist | 650 Brighton Ave, Portland, ME 04102-1035 | |
Mitchell L Vance | Chiropractic | 949 Brighton Ave, Portland, ME 04102-1060 | |
John A Gallagher | Chiropractic | 520 Capisic St, Portland, ME 04102-1741 | |
Robert B Abrahamsen | Emergency Medicine | 1945 Congress St, Portland, ME 04102-1903 | |
Amelia A Hassler | Psychologist, Clinical | 93 Rivers Edge Dr, Portland, ME 04102-1952 | |
Karen D Fisher | Clinical Social Worker | Mainehealth | 12 Andover Rd, Portland, ME 04102-1954 |
Find all physicians in zip 04102 |
City | PORTLAND |
Zip Code | 04102 |
Specialty | PHYSICAL THERAPY |
City + Specialty | PORTLAND + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kelly Mallory.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.