BRENDA SUSAN MALLORY M.D., NPI 1992707111
Physical Medicine & Rehabilitation in BLOOMINGTON, IN
Last Updated on : Sep 01,2020
About BRENDA SUSAN MALLORY (NPI 1992707111)
BRENDA SUSAN MALLORY is a Physical Medicine & Rehabilitation provider in BLOOMINGTON, United States. Her medical specialization is Physical Medicine & Rehabilitation .
1992707111 is NPI number of BRENDA SUSAN MALLORY.
BRENDA SUSAN MALLORY's primary taxonomy code based on NPI Lookup is 208100000X with license number 01084397A. This taxonomy code refers to Physical Medicine & Rehabilitation.
BRENDA SUSAN MALLORY has more than 17 years of experience.
BRENDA SUSAN MALLORY current practice location address is 601 W 2ND ST, BLOOMINGTON, IN. BRENDA SUSAN MALLORY can be reached out via phone at 812-353-6821 .
You can also correspond with BRENDA SUSAN MALLORY through mail at mailing address PO BOX 858, HERSHEY, PA, United States. Mailing address contact number is 800-243-1455.
The enumeration date of BRENDA SUSAN MALLORY is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 3 years ago.1992707111 NPI Information
Basic NPI information of BRENDA SUSAN MALLORY (NPI 1992707111) is provided below.
| Name | BRENDA SUSAN MALLORY |
|---|---|
| National Provider Id (NPI) | 1992707111 |
| Entity Type | Individual |
| Gender | F |
| Credential | M.D. |
| Practice Address | 601 W 2ND ST,
BLOOMINGTON, IN, United States |
| Practice Telephone | 812-353-6821 |
| Practice Fax Number | |
| Mailing Address | PO BOX 858 ,
MC A410
HERSHEY, PA, United States |
| Mailing Telephone | 800-243-1455 |
| Mailing Fax Number | |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 01-Sep-2020 |
BRENDA SUSAN MALLORY (NPI 1992707111) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 01084397A | IN |
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
BRENDA SUSAN MALLORY (NPI 1992707111) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | MD440148 | PA |
| N | 208100000X | Physical Medicine & Rehabilitation | 191473-1 | NY |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01417674 | MEDICAID (05) | NY | |
| 1024982060001 | MEDICAID (05) | PA | |
| 191473-1 | Other (non-Medicare) (01) | NY | NY State License |
BRENDA SUSAN MALLORY (NPI 1992707111) Office Location
Office location of BRENDA SUSAN MALLORY is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1275297186 | 1 NATION HOME CARE INC | Home Health | 7972 BLOOMINGTON AVE,
BLOOMINGTON, MN, United States |
26-Oct-2021 |
| 1699949784 | 1ST CHOICE CARE, INC. | Home Health | 9035 BLAISDELL AVE S,
BLOOMINGTON, MN, United States |
18-Apr-2008 |
| 1427748433 | 1STOP HOMECARE LLC | Home Health | 15644 FAIRFIELD DR,
APPLE VALLEY, MN, United States |
11-May-2023 |
| 1316419807 | 24 HOUR NURSING CARE LLC | Nursing Care | 9224 ELLIOT AVE S,
BLOOMINGTON, MN, United States |
20-Dec-2018 |
| 1891831723 | A CARING COMPANY, INC. | In Home Supportive Care | 9001 EAST BLOOMINGTON FREEWAY,
SUTIE 145 BLOOMINGTON, MN, United States |
29-Jan-2007 |
| 1053637264 | A CARING TOUCH OF MCLEAN COUNTY, INC. | In Home Supportive Care | 315 N CENTER ST,
BLOOMINGTON, IL, United States |
13-Apr-2010 |
| 1831263789 | A PLUS HOME CARE, INC | Home Health | 8400 NORMANDALE LAKE BLVD,
SUITE 920 BLOOMINGTON, MN, United States |
20-Nov-2006 |
| 1215251129 | A PLUS HOME HEALTH CARE, INC | Home Health | 8400 NORMANDALE LAKE BLVD SUITE 920,
BLOOMINGTON, MN, United States |
22-Mar-2010 |
| 1457662405 | A PLUS INTERPRETERS, INC | Interpreter | 8115 2ND AVE S,
BLOOMINGTON, MN, United States |
24-Jun-2010 |
| 1194042358 | A TO Z SOCIAL SERVICES, INC | Home Health | 7809 SOUTHTOWN CTR # 240,
BLOOMINGTON, MN, United States |
28-Apr-2010 |
| 1467960534 | A WAY OF WELLNESS CHIROPRACTIC, LLC | Chiropractor | 1121 W 2ND ST,
BLOOMINGTON, IN, United States |
11-Jan-2018 |
| 1124790829 | LEAH MICHELLE A' HEARN | Social Worker, Clinical | 703 N PRAIRIE ST,
BLOOMINGTON, IL, United States |
30-Sep-2021 |
| 1578876496 | DAVID AAMODT | Radiology, Diagnostic Radiology | 2355 HIGHWAY 36 W STE 100,
ROSEVILLE, MN, United States |
20-Jul-2010 |
| 1609253350 | WHITNEY AARON | Registered Nurse, Psych/Mental Health | 108 W MARKET ST,
BLOOMINGTON, IL, United States |
01-May-2015 |
| 1700255114 | AASH HOME HEALTH CARE LLC | In Home Supportive Care | 5301 HYLAND GREENS DR APT 716,
BLOOMINGTON, MN, United States |
16-Sep-2015 |
| 1760469522 | PETER S ABADEER | Internal Medicine | 1401 EASTLAND DR,
BLOOMINGTON, IL, United States |
22-Dec-2005 |
| 1053651083 | ALYA ABBED | Counselor, Mental Health | 3121 RIDGE CREST DR,
BLOOMINGTON, IL, United States |
28-Feb-2013 |
| 1881824258 | AIMEE JO ABBEN | Physician Assistant | 8170 33RD AVE S,
MS 21110Q BLOOMINGTON, MN, United States |
20-Jul-2009 |
| 1558486332 | ABBOTT NORTHWESTERN HOSPITAL | Occupational Therapist | 5315 HIGHPOINTE DRIVE,
BLOOMINGTON, MN, United States |
20-Mar-2007 |
| 1295479087 | REBECCA ELIZABETH ABBOTT | Physical Therapist | 1030 MAIN ST NE UNIT 409,
MINNEAPOLIS, MN, United States |
26-Apr-2022 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1992707111?1992707111 is the NPI number of BRENDA SUSAN MALLORY.
What is the specialty for BRENDA SUSAN MALLORY?The Specialty of BRENDA SUSAN MALLORY is Physical Medicine & Rehabilitation.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|